SASHA TAKALA


Address: 6101 Pine Ridge Rd, 1st Floor Desk 12/13, Naples, FL 34119-3900
Phone: 2392630849

SASHA TAKALA (NPI# 1831574359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831574359
Entity Type Individual
Full Name SASHA TAKALA
Credential ARNP
Practice Address 6101 Pine Ridge Rd
1st Floor Desk 12/13
Naples
FL 34119-3900
Practice Telephone 2392630849
Practice Fax Number 2392632376
Mailing Telephone 2392630849
Mailing Fax Number 2392632376
Enumeration Date 2015-07-27
Last Update Date 2016-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9325612 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6101 PINE RIDGE RD
1ST FLOOR DESK 12/13
City NAPLES
State FL
Zip Code 34119-3900

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NPI Name Taxonomy Address Enumeration
1760480941 Moheb M Mohareb Surgery 6101 Pine Ridge Rd, Naples, FL 34119-3900 2005-07-12
1053919241 Christopher John Larson Specialist/Technologist, Other 6101 Pine Ridge Rd, Naples, FL 34119-3900 2020-10-11
1699372672 Kyle Harrington Physician Assistant 6101 Pine Ridge Rd, Naples, FL 34119-3900 2020-10-03
1700495389 Naples Hma LLC Medicare Defined Swing Bed Unit 6101 Pine Ridge Rd, Naples, FL 34119-3900 2020-07-29
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1457986879 Lory Ann Taraborelli Clinical Nurse Specialist 6101 Pine Ridge Rd, Naples, FL 34119-3900 2020-03-05
1003453838 Christina Elana Cibula Nurse Anesthetist, Certified Registered 6101 Pine Ridge Rd, Naples, FL 34119-3900 2019-11-27
1124671367 Rebecca Nicole Orr Pharmacist 6101 Pine Ridge Rd, Naples, FL 34119-3900 2019-07-17
1174188999 Carrie Daugherty Nurse Anesthetist, Certified Registered 6101 Pine Ridge Rd, Naples, FL 34119-3900 2019-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114553005 Michael Spicuzza Emergency Medical Technician, Intermediate 3315 Grand Cypress Drive, #201, Naples, FL 34119 2020-03-23
1033771993 Stephanie N Chandler Nurse Practitioner 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 2019-07-01
1174041701 Bradley W. Coleman Pharmacist 3917 Upolo Lane, Naples, FL 34119 2017-09-04
1437676350 Brenda A Schlueter Clinic/Center 7070 Venice Way Apt 2904, Naples, FL 34119 2017-08-23
1457760548 Loving Care Home Health Agency, Inc. Home Health 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 2014-08-04
1578971826 Maria Rienzi Physician Assistant Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 2014-07-31
1861832941 Queanh N Phan Dentist 8855 Immokalee Rd, Suite 10, Naples, FL 34119 2013-07-03
1144505199 Isabelle Faucher Dietitian, Registered 4522 Executive Dr Unit 103, Naples, FL 34119 2011-10-20
1528340973 Amy Hemsworth Pharmacist 13520 Tamiami Trail N, Naples, FL 34119 2011-09-12
1437469970 Marika Walker Physician Assistant 4513 Executive Dr., Naples, FL 34119 2010-10-18
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1578100319 Stephanie Kopel Nurse Practitioner 681 4th Ave N, Naples, FL 34102-5729 2019-11-27
1306310107 Raisa Genao Nurse Practitioner 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 2019-01-15
1841761368 Vanessa Fulton Nurse Practitioner 350 7th St N, Naples, FL 34102-5754 2018-12-10
1730629718 Ashley Ruffing Nurse Practitioner 311 9th St N, Naples, FL 34102-5885 2017-02-24
1417181553 Jennifer Leigh Coates Nurse Practitioner 120 Moorings Park Dr, Naples, FL 34105-2122 2009-05-04
1891773750 Sara Walther Nurse Practitioner 120 Moorings Park Dr, Naples, FL 34105-2122 2006-01-02

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1275130551 Edgar Rafael Valdez Quinonez Nurse Practitioner 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 2020-10-08
1306453683 Madelyn Delgado Borges Nurse Practitioner 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 2020-09-30
1497362024 Kyliene Reyes Nurse Practitioner 4771 Sw 138th Loop, Ocala, FL 34473-2000 2020-09-28
1598371882 Curt David Miller Nurse Practitioner 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 2020-09-22
1093321754 Sangita Nair Nurse Practitioner 16302 Sw 23rd St, Miramar, FL 33027-4404 2020-09-18
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Competitor

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City NAPLES
Zip Code 34119

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Dataset Information

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.

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