MRS. NATALIE K EISENHUT (NPI# 1952499287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952499287 |
Entity Type | Individual |
Full Name | MRS. NATALIE K EISENHUT |
Other Name | MISS NATALIE K MATHEWS |
Credential | NP |
Practice Address |
1040 W International Speedway Blvd Daytona Beach FL 32114-3434 |
Mailing Address |
4721 Hidden Lake Dr Port Orange FL 32129-7477 |
Practice Telephone | 3862528051 |
Mailing Telephone | 3862528051 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9231517 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1040 W INTERNATIONAL SPEEDWAY BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-3434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891230371 | Dmitriy Shishkin | Nurse Practitioner | 253 Bayberry Lakes Blvd, Daytona Beach, FL 32124-3620 | 2016-12-20 |
1285805804 | Sylvia S. Quandt | Nurse Practitioner | 1200 Red John Dr, Daytona Beach, FL 32124-1073 | 2008-03-23 |
1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
1588200885 | Kathryn Anne Erickson | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-21 |
1225532336 | Kristine Mcgowan | Nurse Practitioner | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2018-03-22 |
1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
1548614647 | Emma Laura Ems | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2016-04-15 |
1669808861 | Robin P Brown | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-09-19 |
1225333529 | Maryjane Mclaughlin | Nurse Practitioner | 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2011-01-18 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32114 |
Please comment or provide details below to improve the information on MRS. NATALIE K EISENHUT.
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.