MORIAM O BALOGUN (NPI# 1932637931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932637931 |
Entity Type | Individual |
Full Name | MORIAM O BALOGUN |
Credential | ARNP |
Practice Address |
3302 Sawtooth Dr Tallahassee FL 32303-7368 |
Practice Telephone | 8503392952 |
Practice Fax Number | 8503392952 |
Mailing Telephone | 8503392952 |
Enumeration Date | 2017-06-02 |
Last Update Date | 2017-06-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9355877 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9355877 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3302 SAWTOOTH DR |
City | TALLAHASSEE |
State | FL |
Zip Code | 32303-7368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
Find all providers in zip 32303 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457726085 | Paula Jean Dibenedetto | Nurse Practitioner | 1889 Professional Park Cir Ste 30, Tallahassee, FL 32308-4511 | 2015-12-08 |
1265832802 | Shirley Croissy English I | Nurse Practitioner | 3468 Gentle Wind Way, Tallahassee, FL 32317-9010 | 2014-09-02 |
1093132359 | Sevilla Bronson | Nurse Practitioner | 4460 Westover Dr, Tallahassee, FL 32303-2461 | 2014-03-25 |
1275963662 | Generationspan Healthcare LLC | Nurse Practitioner | 400 Capital Cir Se Ste 18128, Tallahassee, FL 32301-3802 | 2013-11-21 |
1669993713 | David Allen Curry | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2017-06-29 |
1831520063 | Molly Seal | Nurse Practitioner | 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 | 2013-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32303 |
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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.