DESHAE MARTIN (NPI# 1861945719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861945719 |
| Entity Type | Individual |
| Full Name | DESHAE MARTIN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2105 Roanoke Springs Dr Ruskin FL 33570-6312 |
| Practice Telephone | 8135857708 |
| Mailing Telephone | 8135857708 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9303768 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
9303768 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019436600 | 05 |
| Street Address |
2105 ROANOKE SPRINGS DR |
| City | RUSKIN |
| State | FL |
| Zip Code | 33570-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835862 | Bay Area Direct Client Care LLC | Nursing Care | 2105 Roanoke Springs Dr, Ruskin, FL 33570 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1063058394 | Billy Lane | Specialist/Technologist | Amazon Fullfillment Center Tpa1, 3350 Laurel Ridge Ave, Ruskin, FL 33570 | 2019-11-21 |
| 1366090946 | Our Hearts Home Care & Staffing LLC | Home Health | 239 Cascade Bend Dr, Ruskin, FL 33570 | 2019-08-28 |
| 1659892230 | Apollo Health Services | Pharmacy | 517 N Us Highway 41, Ruskin, FL 33570 | 2017-07-04 |
| 1215485404 | Natacha Noel | Custodial Care Facility | 1014 Cristelle Jean Dr., Ruskin, FL 33570 | 2016-09-15 |
| 1093170805 | Timothy Soliman Afch | Clinic/Center | 738 Tanana Fall Drive, Ruskin, FL 33570 | 2015-12-21 |
| 1952793606 | Jitendra Pansuria | Pharmacist | 1023 N Tamiami Trail, Ruskin, FL 33570 | 2015-03-04 |
| 1588078182 | Joyful Solutions Homemaker Sitter and Companion Services | Home Health | 1416 Delano Trent St., Ruskin, FL 33570 | 2014-06-12 |
| 1740541143 | Miguel Miron | Pharmacist | 2101 Roanoke Springs Drive, Ruskin, FL 33570 | 2012-06-01 |
| 1437385267 | Ramon E Guadalupe | Massage Therapist | 2232 Road Oak Spring Dr, Ruskin, FL 33570 | 2009-06-08 |
| Find all providers in zip 33570 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| 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.