TIFFANY HENDRICKSON


Address: 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769
Phone: 2393436050

TIFFANY HENDRICKSON (NPI# 1891284469) 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) 1891284469
Entity Type Individual
Full Name TIFFANY HENDRICKSON
Credential APRN
Practice Address 16230 Summerlin Rd Ste 215
Fort Myers
FL 33908-5769
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393436050
Practice Fax Number 2393439909
Mailing Telephone 2393436050
Mailing Fax Number 2393439909
Enumeration Date 2018-05-09
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist APRN9366642 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 024874300 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8960 Colonial Center Dr Ste 206, Fort Myers, FL 33905 2393439696 2393439707
8960 Colonial Center Dr Ste 300, Fort Myers, FL 339057810 2393439696 2393439707

Office Location

Street Address 16230 SUMMERLIN RD STE 215
City FORT MYERS
State FL
Zip Code 33908-5769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093733990 Viraine S Weerasooriya Pediatrics 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2006-07-18
1215448162 Jessica Noelle Teston Clinical Nurse Specialist 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2017-10-18
1619298502 Abd-el-rahman Mostafa Abd-el-barr Urology 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2010-06-15
1710137146 Amy R Phipps Clinical Nurse Specialist 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2008-09-23
1467621193 Kristin Eve Koehlmoos Clinical Nurse Specialist 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2008-02-27
1932291804 Frances T Gill-appiott Nurse Practitioner 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2006-09-29
1235146481 Damian Maxwell Surgery 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760081806 1 Recovery Community/Behavioral Health 111 Daniels Dr, Fort Myers, FL 33908 2020-10-20
1457916462 Avipharm, LLC Pharmacy 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 2019-05-06
1013492289 Craig M Stein Pharmacist 15236 Tropic Bird Court, Fort Myers, FL 33908 2018-10-03
1730665167 Kyndra Lynn Petrick Psychiatry & Neurology 8560 Big Mangrove Dr, Fort Myers, FL 33908 2018-07-18
1447757547 Douglas L Jarrett Nurse Practitioner 16261 Bass Rd Suite 300, Fort Myers, FL 33908 2018-04-06
1447754825 Luis Daniel Ramos General Practice 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 2018-03-21
1619497062 Vanesa Paola Vaquer Dentist 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 2017-06-26
1962859603 Teresa Ruiz Behavior Technician 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 2016-05-23
1669865721 Elena B. Alexiev Dentist 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 2015-03-13
1134488919 Cecelia Anne Collins Dietitian, Registered 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 2012-05-14
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851497218 Mary Hoke Clinical Nurse Specialist 13601 Plantation Rd, Fort Myers, FL 33912-4437 2006-09-15
1407851819 Tammy L Mccarty Clinical Nurse Specialist 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 2005-06-14
1457904336 Roberta Joyce Marino Clinical Nurse Specialist 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 2019-07-19
1730668765 Gregg Scott Macdonald Clinical Nurse Specialist 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 2018-08-10
1972003499 San Wong Clinical Nurse Specialist 2780 Cleveland Ave Ste 819, Fort Myers, FL 33901 2018-02-21
1215448162 Jessica Noelle Teston Clinical Nurse Specialist 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 2017-10-18
1962928994 Miguel Angel Gonzalez Clinical Nurse Specialist 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2017-08-22
1922534338 Francesca Passalacqua Clinical Nurse Specialist 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 2017-05-04
1790140937 David Bryan Gierut Clinical Nurse Specialist 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966-4818 2015-12-15
1538585419 Stacy Marie O'brien Clinical Nurse Specialist 2780 Cleveland Ave Ste 809, Fort Myers, FL 33901-5817 2014-03-14
Find all providers in FORT MYERS

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City FORT MYERS
Zip Code 33908

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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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