BRANDI LYNN WETHINGTON (NPI# 1770193005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770193005 |
Entity Type | Individual |
Full Name | BRANDI LYNN WETHINGTON |
Credential | APRN |
Practice Address |
11380 Sw Village Pkwy Ste 100 Port Saint Lucie FL 34987-2389 |
Practice Telephone | 7723016500 |
Practice Fax Number | 8778482702 |
Mailing Telephone | 7723016500 |
Mailing Fax Number | 8778482702 |
Enumeration Date | 2020-08-02 |
Last Update Date | 2020-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WH1000X |
Registered Nurse Specialization: Hospice |
9182853 | FL | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11008559 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11380 SW VILLAGE PKWY STE 100 |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34987-2389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
Find all providers in zip 34987 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063451 | Agatha E Adjei | Nurse Practitioner | 1590 Sw Mullinax Ave, Port Saint Lucie, FL 34953-7060 | 2020-11-05 |
1700491354 | Sarah Cross | Nurse Practitioner | 1901 Se Tickridge Rd, Port Saint Lucie, FL 34952-5222 | 2020-09-10 |
1942823067 | Massiel Morales | Nurse Practitioner | 1213 Sw San Antonio Ave, Port Saint Lucie, FL 34953-4838 | 2020-05-22 |
1558903104 | Eduardo Castro | Nurse Practitioner | 10491 Sw Sarah Way, Port Saint Lucie, FL 34987-1979 | 2019-10-15 |
1306315825 | Katherine Nicole Willingham | Nurse Practitioner | 2151 Sw Barthel St, Port Saint Lucie, FL 34984-4301 | 2018-11-14 |
1558847921 | Quessie Campbell | Nurse Practitioner | 843 Sw Jaslo Ave, Port Saint Lucie, FL 34953-5632 | 2018-07-18 |
1881192060 | Kelley Marie Turco | Nurse Practitioner | 156 Nw Bentley Cir, Port Saint Lucie, FL 34986-2430 | 2018-01-23 |
1679083034 | Jennifer Anne Burke | Nurse Practitioner | 1801 Se Hillmoor Dr # 108, Port Saint Lucie, FL 34952-7553 | 2017-10-11 |
1063961605 | Martine Apollon | Nurse Practitioner | 5880 Nw Carovel Ave, Port Saint Lucie, FL 34986-3801 | 2016-09-23 |
1346600707 | Karen Gagliano | Nurse Practitioner | 233 Nw Pleasant Grove Way, Port Saint Lucie, FL 34986-3583 | 2016-02-28 |
Find all providers in PORT SAINT LUCIE |
City | PORT SAINT LUCIE |
Zip Code | 34987 |
Please comment or provide details below to improve the information on BRANDI LYNN WETHINGTON.
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.