MRS. DEMETRIA LAVETTE WALKER-RUTLEDGE (NPI# 1821503111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821503111 |
Entity Type | Individual |
Full Name | MRS. DEMETRIA LAVETTE WALKER-RUTLEDGE |
Credential | APRN-C |
Practice Address |
10141 Big Bend Rd Ste 101 Riverview FL 33578 |
Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
Practice Telephone | 8133971270 |
Practice Fax Number | 8133971271 |
Mailing Telephone | 7275320002 |
Mailing Fax Number | 7272664943 |
Enumeration Date | 2017-12-07 |
Last Update Date | 2019-01-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 9181104 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN9181104 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 101700500 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10141 Big Bend Rd Ste 101, Riverview, FL 335787419 | 8133971270 | |
301 Shell Manor Dr, Ruskin, FL 335705005 | 8139667554 |
Street Address |
10141 BIG BEND RD STE 101 |
City | RIVERVIEW |
State | FL |
Zip Code | 33578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124482351 | Okwudili Okpaleke | Family Medicine | 10141 Big Bend Rd Ste 101, Riverview, FL 33578-7419 | 2016-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
Find all providers in zip 33578 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511429 | Stephanie Nicole Bunch | Nurse Practitioner | 9406 Balm Riverview Rd, Riverview, FL 33569-5116 | 2020-09-02 |
1194247452 | Thraese Renata Brown | Nurse Practitioner | 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 | 2017-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
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.