MRS. CASSANDRA JEAN BOARD (NPI# 1801318589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801318589 |
Entity Type | Individual |
Full Name | MRS. CASSANDRA JEAN BOARD |
Credential | APRN |
Practice Address |
855 Outer Rd Orlando FL 32814-6652 |
Practice Telephone | 4078937377 |
Practice Fax Number | 4078968702 |
Mailing Telephone | 4078937377 |
Mailing Fax Number | 4078968702 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2020-05-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9199566 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
855 OUTER RD |
City | ORLANDO |
State | FL |
Zip Code | 32814-6652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396827846 | Metro Orlando Pediatrics Pa | Clinic/Center | 855 Outer Rd, Orlando, FL 32814-6652 | 2006-10-20 |
1235669508 | Alexandria Booker Dixon | Pediatrics | 855 Outer Rd, Orlando, FL 32814-6652 | 2017-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861979353 | Kristen R. Weick | Counselor | 1384 Lake Baldwin Ln, Suite B, Orlando, FL 32814 | 2018-07-26 |
1376822056 | Teresa Ann Baker | Audiologist | 1460 Lake Baldwin Ln Apt A, Orlando, FL 32814 | 2011-08-11 |
1811120843 | Carolina Teresa Diaz | Counselor | 4225 Fox St. Part 209, Orlando, FL 32814 | 2009-08-25 |
1639337231 | Physician Associates LLC | Family Medicine | 855 Outer Road, Physician Associates LLC, Orlando, FL 32814 | 2008-05-30 |
1598881369 | Yong Chen | Preventive Medicine | 2433 Lake Baldwin Lane, Orlando, FL 32814 | 2007-03-22 |
1285661660 | William Bruna Dunn Iv | Dentist | 950 Lake Baldwin Lane, Orlando, FL 32814 | 2006-06-28 |
1295776326 | Wanita Sue Patterson | Nurse Practitioner | 871 Outer Road Unit D, Orlando, FL 32814 | 2006-06-09 |
1780663252 | Juan J Herran | Internal Medicine | 1697 Lake Baldwin Ln, Orlando, FL 32814 | 2006-01-12 |
1275038085 | Kayla Marie Mannion | Behavior Technician | 907 Outer Rd Ste B, Orlando, FL 32814 | 2018-03-26 |
1891295127 | Tiffany Marie Rubio | Midwife | 867 Outer Rd Ste A, Orlando, FL 32814 | 2018-02-13 |
Find all providers in zip 32814 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950802 | Lindsay Elizabeth Gomes | Nurse Practitioner | 8410 Shady Glen Dr, Orlando, FL 32819-4179 | 2019-06-12 |
1003475211 | Allison Leigh Penny | Nurse Practitioner | 615 E Princeton St Ste 510, Orlando, FL 32803-1424 | 2019-06-11 |
1447731708 | Shanna Ann Maiorana | Nurse Practitioner | 4445 S Semoran Blvd Ste A, Orlando, FL 32822-2472 | 2018-08-24 |
1467816728 | Kara B Kweder | Nurse Practitioner | 7051 Dr Phillips Blvd Ste 1, Orlando, FL 32819-5140 | 2016-04-12 |
1669841698 | Rebecca L Archer | Nurse Practitioner | 2902 N Orange Ave Ste D, Orlando, FL 32804-4655 | 2015-09-21 |
1245568054 | Jeane Cole | Nurse Practitioner | 910 Marabon Ave, Orlando, FL 32806-1806 | 2009-12-07 |
1578795977 | Amber Rose Eastwood | Nurse Practitioner | 2101 Park Center Dr Ste 100, Orlando, FL 32835-7609 | 2009-08-18 |
1720214240 | Mindi Ashley Anderson | Nurse Practitioner | 12201 Research Pkwy Ste 300, Orlando, FL 32826-3265 | 2009-06-10 |
1295970408 | Mariah P Morris | Nurse Practitioner | 6000 Turkey Lake Rd Ste 205, Orlando, FL 32819-4206 | 2008-12-03 |
1679745517 | Kimberlee Artz | Nurse Practitioner | 92 W Miller St Fl 2, Orlando, FL 32806-2032 | 2008-04-01 |
Find all providers in ORLANDO |
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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.