LACIE BURLESON (NPI# 1912365016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365016 |
| Entity Type | Individual |
| Full Name | LACIE BURLESON |
| Credential | ARNP |
| Practice Address |
4129 N Armenia Ave Tampa FL 33607-6436 |
| Practice Telephone | 8138793699 |
| Practice Fax Number | 8138738469 |
| Mailing Telephone | 8138793699 |
| Mailing Fax Number | 8138738469 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9278784 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4129 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780520 | Gregory J Smull | Internal Medicine | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2006-02-20 |
| 1922584929 | Miranda Y Balster | Nurse Practitioner | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2018-07-13 |
| 1093135881 | Reinaldo Garcia | Internal Medicine | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2014-04-21 |
| 1568803054 | Marwan Odeesh | Internal Medicine | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2013-07-11 |
| 1417244757 | E. George Rosanelli Jr., M.d., P.a. | Ophthalmology | 4129 N Armenia Ave, Suite A, Tampa, FL 33607-6436 | 2011-07-07 |
| 1255642989 | Raul Sierra Md Pa | General Practice | 4129 N Armenia Ave, Suite B, Tampa, FL 33607-6436 | 2010-06-28 |
| 1720211527 | Wendy Lorraine Katz | Nurse Practitioner | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2009-08-26 |
| 1871757104 | Ashish Aggarwal | Internal Medicine | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2008-07-16 |
| 1376732248 | Margarita Georgieva Todorov | Nurse Practitioner | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2007-10-17 |
| 1487852919 | Hector Eduardo Santiago-belledonne | Internal Medicine | 4129 N Armenia Ave, Tampa, FL 33607-6436 | 2007-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299687 | Katherine Langlais | Nurse Practitioner | 5110 S Manhattan Ave Unit 4302, Tampa, FL 33611-3454 | 2020-06-15 |
| 1881221760 | Sarah Kossiver | Nurse Practitioner | 1 Tampa General Cir # A, Tampa, FL 33606-3571 | 2020-03-23 |
| 1548808207 | Jamie Mooney | Nurse Practitioner | 1 Tampa General Cir Ste D346, Tampa, FL 33606-3571 | 2019-12-12 |
| 1114571411 | Sonya Hater | Nurse Practitioner | 208 S Bungalow Park Ave, Tampa, FL 33609-3113 | 2019-07-25 |
| 1871080788 | Aabedah Taher | Nurse Practitioner | 18146 Canal Pointe St, Tampa, FL 33647 | 2018-04-16 |
| 1023511151 | Lydia Phan | Nurse Practitioner | 3500 E Fletcher Ave Ste 129, Tampa, FL 33613-4709 | 2018-03-15 |
| 1578846481 | Susan L Bateman | Nurse Practitioner | 1 Tampa General Cir # G417, Tampa, FL 33606-3571 | 2011-09-27 |
| 1003079906 | Bridget Shoulders-odom | Nurse Practitioner | 13000 Bruce B Downs Bld, Tampa, FL 33612 | 2008-07-10 |
| 1649367145 | Wendy Denise Larkin | Nurse Practitioner | 13000 Bruce B. Downs, Tampa, FL 33612 | 2006-10-06 |
| 1134735285 | Edith Abraham | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-23 |
| Find all providers in TAMPA | ||||
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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.