MISS COURTNEY ALEXANDRA LENNON (NPI# 1740735919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740735919 |
| Entity Type | Individual |
| Full Name | MISS COURTNEY ALEXANDRA LENNON |
| Credential | PA-C |
| Practice Address |
4040 Sheridan St Hollywood FL 33021-3536 |
| Mailing Address |
9173 Fountainbleau Blvd Apt 5 Miami FL 33172-4318 |
| Practice Telephone | 9543227166 |
| Mailing Telephone | 3057738350 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109643 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782566 | Courtney Ann Lennon | Acupuncturist | 90 Fawcett St Unit 413, Cambridge, MA 02138-1188 | 2019-04-03 |
| 1154558344 | Courtney Lynne Lennon | Family Medicine | 941 Park Dr, Palmyra, PA 17078-3445 | 2009-06-16 |
| Street Address |
4040 SHERIDAN ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265477509 | Mark Derrick Chin-lenn | Family Medicine | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2006-06-19 |
| 1174188700 | Lourdes Kristina Sanchez | Physician Assistant | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2019-05-09 |
| 1356641989 | Benjamin Lozier Tanner Schlumbrecht | Registered Nurse | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2010-10-29 |
| 1184931339 | Comprehensive Health & Wellness Center, P.a. | Clinic/Center | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1336542356 | Bernard Loeffke | Physician Assistant | 1450 Sheridan St Apt 25e, Hollywood, FL 33020-2267 | 2014-10-04 |
| 1285063099 | Danielle Buckley | Physician Assistant | 2373 N 37th Ave, Hollywood, FL 33021-3647 | 2013-11-02 |
| 1275597742 | Marsha Gay Delavan | Physician Assistant | 6180 Highway 162, Hollywood, SC 29449-5767 | 2006-04-13 |
| 1750387254 | Carmelle Beauvais | Physician Assistant | 3700 Johnson Street, Hollywood, FL 33021 | 2005-06-21 |
| 1770058810 | Karina Cortes | Physician Assistant | 3800 Johnson St, Suite D, Hollywood, FL 33021 | 2018-10-04 |
| 1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
| 1427420447 | Jessica Cravens | Physician Assistant | 3700 Washington St, #500, Hollywood, FL 33021-8256 | 2015-10-29 |
| 1629446422 | Adalis Caridad Molina-burset | Physician Assistant | 4700 Sheridan St, Suite M, Hollywood, FL 33021-3420 | 2015-09-10 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.