MRS. MARY-ELLEN DORATHY KATRINA TINNERELLO (NPI# 1881168284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881168284 |
| Entity Type | Individual |
| Full Name | MRS. MARY-ELLEN DORATHY KATRINA TINNERELLO |
| Credential | APRN |
| Practice Address |
4664 Browning Ct Crestview FL 32539-5730 |
| Practice Telephone | 9105682028 |
| Mailing Telephone | 9105682028 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9327432 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4664 BROWNING CT |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426846 | Emily Winona Bundrick | Nurse Practitioner | 5681 Ryan Rd, Crestview, FL 32539-8823 | 2018-05-09 |
| 1942237458 | Linda Cheryl Foley | Nurse Practitioner | 109 Old South Dr, Crestview, FL 32536-5565 | 2006-06-28 |
| 1659913606 | Shirley Blanco | Nurse Practitioner | 800 Hospital Dr, Crestview, FL 32539-7385 | 2019-10-10 |
| 1326607276 | Brittany Marie Arbacheski Fais | Nurse Practitioner | 369 N Main St, Crestview, FL 32536-3541 | 2019-06-12 |
| 1548726136 | Tanya Tamika Jenkins | Nurse Practitioner | 210 S Main St, Crestview, FL 32536-3737 | 2019-02-19 |
| 1689144198 | Kayla Scott | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2018-11-27 |
| 1013434570 | Brittany Nicole Grimes | Nurse Practitioner | 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 | 2017-08-25 |
| 1821510835 | Melissa Dianne Davis | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2017-07-11 |
| 1013377720 | Michelle Therese Koski | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2016-02-24 |
| 1457766214 | Lindsey Alaina Mann-badyrka | Nurse Practitioner | 332 Medcrest Dr, Crestview, FL 32536-6440 | 2014-06-30 |
| Find all providers in CRESTVIEW | ||||
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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.