JONATHAN VICENCIO (NPI# 1790315307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790315307 |
| Entity Type | Individual |
| Full Name | JONATHAN VICENCIO |
| Practice Address |
88 Emerald Lake Dr Palm Coast FL 32137-1311 |
| Practice Telephone | 6314553034 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN11005783 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
88 EMERALD LAKE DR |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285161562 | Kenneth Matthew Zino | Nurse Anesthetist, Certified Registered | 1 Elder Pl, Palm Coast, FL 32164-6252 | 2017-05-17 |
| 1437158995 | Thomas Lee Bode | Nurse Anesthetist, Certified Registered | 27 Parkway Dr, Palm Coast, FL 32164-2801 | 2005-07-18 |
| 1962644914 | Ips of Palm Coast LLC | Nurse Anesthetist, Certified Registered | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1265459002 | David F. Alaniz | Nurse Anesthetist, Certified Registered | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2006-07-17 |
| 1467482992 | Cristina B. Wright | Nurse Anesthetist, Certified Registered | 60 Memorial Medical Parkway, Palm Coast, FL 32164 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231084 | Gasem925 Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 11308 State Road 54 Ste B, Trinity, FL 34655-2294 | 2020-10-05 |
| 1437787207 | Lauren Nicole Stanton | Nurse Anesthetist, Certified Registered | 14892 67th Trl N, West Palm Beach, FL 33418-1960 | 2020-03-29 |
| 1215565197 | Alina Fleites | Nurse Anesthetist, Certified Registered | 12327 Sw 31st Ter, Miami, FL 33175-2258 | 2020-03-27 |
| 1205463510 | Michael Robert Donovan | Nurse Anesthetist, Certified Registered | 102 Morning Dew Cir, Jupiter, FL 33458-5277 | 2020-03-25 |
| 1134756554 | Monica Flores Espada | Nurse Anesthetist, Certified Registered | 410 Evernia St Apt 704, West Palm Beach, FL 33401-5438 | 2020-03-25 |
| 1447887005 | Seth Martin | Nurse Anesthetist, Certified Registered | 11324 Citra Cir Apt 103, Windermere, FL 34786-5950 | 2020-03-24 |
| 1003442070 | Rebecca Bernardo | Nurse Anesthetist, Certified Registered | 481 Moffat Loop, Oviedo, FL 32765-6289 | 2020-03-20 |
| 1639703150 | Jeremy Duckworth | Nurse Anesthetist, Certified Registered | 1073 Bethpage Rd, Auburndale, FL 33823-8408 | 2020-02-24 |
| 1750912572 | Ariane Rochelle Soffron | Nurse Anesthetist, Certified Registered | 9064 Vineyard Lake Dr, Plantation, FL 33324-6132 | 2020-01-30 |
| 1700416898 | Clayton Hugh Chin Quee Sr | Nurse Anesthetist, Certified Registered | 1860 Sw 155th Ave, Miramar, FL 33027-4319 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
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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.