STACEY RENEE LUDBAN (NPI# 1881040103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881040103 |
Entity Type | Individual |
Full Name | STACEY RENEE LUDBAN |
Practice Address |
3726 Longleaf Forest Ln Jacksonville FL 32210-6896 |
Practice Telephone | 9049009689 |
Mailing Telephone | 9049009689 |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
N | 103K00000X | Behavioral Analyst | L315796906690 | FL | Behavioral Health & Social Service Providers |
Street Address |
3726 LONGLEAF FOREST LN |
City | JACKSONVILLE |
State | FL |
Zip Code | 32210-6896 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
Find all providers in zip 32210 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819009 | Shavon Chanta Burney | Technician, Other | 12337 Wynnfield Lakes Dr Unit 1721, Jacksonville, FL 32246-4272 | 2018-08-03 |
1548747751 | Analiese Marie Fazio | Technician, Other | 5900 Townsend Rd Apt 815, Jacksonville, FL 32244-4579 | 2018-07-20 |
1619489994 | Tracey Moraine Lewis | Technician, Other | 1060 Ontario St, Jacksonville, FL 32254-2040 | 2017-10-26 |
1548790298 | Fresh Heads Lice Removal | Technician, Other | 13241 Bartram Park Blvd Unit 1801, Jacksonville, FL 32258-5227 | 2017-06-15 |
1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
1881146074 | Arthur Hairston | Technician, Other | 5633 Clifton Lane, Jacksonville, FL 32211 | 2016-11-04 |
1528519717 | Patricia Coleman | Technician, Other | 3820 Losco Rd Apt 216, Jacksonville, FL 32257-1420 | 2016-10-22 |
1669920278 | Denise Miller | Technician, Other | 7033 Swamp Flower Dr N, Jacksonville, FL 32244-6155 | 2016-09-13 |
1891241832 | Danitha Blanchard | Technician, Other | 15879 Tisons Bluff Rd, Jacksonville, FL 32218-0125 | 2016-08-30 |
1023471984 | Courtney Hermsdorfer | Technician, Other | 9536 Princeton Square Blvd S, Apt 1512, Jacksonville, FL 32256-0322 | 2016-03-29 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32210 |
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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.