MRS. CASEY LEE MOLUMBY (NPI# 1760886972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760886972 |
| Entity Type | Individual |
| Full Name | MRS. CASEY LEE MOLUMBY |
| Other Name | MS. CASEY LEE PASS |
| Credential | ARNP |
| Practice Address |
613 Medical Care Drive Brandon FL 33511 |
| Mailing Address |
413 W Robertson St Brandon FL 33511 |
| Practice Telephone | 8136539996 |
| Practice Fax Number | 8136539669 |
| Mailing Telephone | 8136612211 |
| Mailing Fax Number | 8136612212 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9203695 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
ARNP9203695 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
613 MEDICAL CARE DRIVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782592 | Tm Medical Associates, LLC | Nurse Practitioner | 131 N Moon Ave Ste 3&4, Brandon, FL 33510-4418 | 2017-07-12 |
| 1780125302 | Debra Brown Willis | Nurse Practitioner | 216 Belle Oak Dr, Brandon, MS 39042-8251 | 2017-03-15 |
| 1447666870 | Robert Frank | Nurse Practitioner | 547 E Washington St, Brandon, WI 53919-8558 | 2014-07-07 |
| 1710140488 | Mary Grace Lemmenes | Nurse Practitioner | N4439 Meadow Rd, Brandon, WI 53919-9734 | 2008-07-03 |
| 1912513474 | Andrea Jessica Lynn | Nurse Practitioner | 425 S Kings Ave, Brandon, FL 33511-5919 | 2020-09-21 |
| 1902366495 | Mary Lydia Hall | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2019-03-21 |
| 1528524980 | Yendrys Calderin | Nurse Practitioner | 110 Lithia Pinecrest Rd Ste H, Brandon, FL 33511-5300 | 2019-02-11 |
| 1033613070 | Sabrina Sportman | Nurse Practitioner | 635 Eichenfeld Dr, Brandon, FL 33511-5908 | 2018-03-23 |
| 1205349594 | Todd Joseph Smith | Nurse Practitioner | 61 Court Dr, Brandon, VT 05733-8407 | 2017-11-09 |
| 1235673310 | Elena Nelson | Nurse Practitioner | 605 Medical Care Dr, Brandon, FL 33511-5942 | 2016-12-08 |
| Find all providers in BRANDON | ||||
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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.