LAURA DEETZ (NPI# 1790287316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790287316 |
| Entity Type | Individual |
| Full Name | LAURA DEETZ |
| Credential | ARNP |
| Practice Address |
10762 Se Us Highway 441 Belleview FL 34420-3805 |
| Practice Telephone | 3523475225 |
| Mailing Telephone | 3523475225 |
| Mailing Fax Number | 3523471073 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9326701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10762 SE US HIGHWAY 441 |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250857 | Belleview Community Pharmacy | Durable Medical Equipment & Medical Supplies | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2005-07-28 |
| 1568614303 | Mary L Lane | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2008-10-10 |
| 1083890271 | Tracy Lee Riddle | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2008-01-17 |
| 1902019581 | Melissa Hughes | Pharmacist | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2007-05-08 |
| 1922027341 | Judive Jocelyn | Legal Medicine | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-07-18 |
| 1265474357 | Michael Crimi Jr. | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-06-12 |
| 1689614711 | Robert Main | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-06-07 |
| 1275597320 | Harriett Williemae Smith-mckinney | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-04-14 |
| 1972581288 | Shirley A Ice | Family Medicine | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1083178313 | Sheila Bush | Technician | 12791 Se 47th Ave, Belleview, FL 34420 | 2019-01-31 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| Find all providers in zip 34420 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908677 | Carolyn J Macias | Nurse Practitioner | 11322 Se 55th Avenue Rd Unit 901, Belleview, FL 34420-3749 | 2020-09-25 |
| 1255974150 | Christy Ellen Blackburn | Nurse Practitioner | 3651 Se 97th Ln, Belleview, FL 34420-7800 | 2019-10-23 |
| 1114397486 | Sabrina Kelli Graham | Nurse Practitioner | 4850 Se 110th St, Belleview, FL 34420-3118 | 2015-09-30 |
| 1083890271 | Tracy Lee Riddle | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2008-01-17 |
| 1427038983 | Allison S Brewer-reed | Nurse Practitioner | 10696 Se Us Highway 441, Belleview, FL 34420-2802 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.