MRS. SHELLY LYNN FRADET (NPI# 1962579086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579086 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY LYNN FRADET |
| Credential | PA-C |
| Practice Address |
1404 S Ridgewood Ave Edgewater FL 32132-2720 |
| Practice Telephone | 3864268166 |
| Mailing Telephone | 3864268166 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3365 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1404 S RIDGEWOOD AVE |
| City | EDGEWATER |
| State | FL |
| Zip Code | 32132-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824778 | Margaret Chang | Family Medicine | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 2005-10-10 |
| 1275552358 | Coastal Family Practice LLC | Family Medicine | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 2006-07-19 |
| 1114975596 | Surya P Rao | Internal Medicine | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 2006-05-05 |
| 1275521759 | Patricia Fredette-huffman | Family Medicine | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124389663 | Jeannine Parisi | Technician | 1610 Royal Palm Dr, Edgewater, FL 32132 | 2012-05-31 |
| 1992071575 | Mary E. Curtiss | Dietitian, Registered | 104 W. Knapp Ave, Edgewater, FL 32132 | 2012-03-28 |
| 1285923284 | Bhi of Central Florida Corporation | Non-emergency Medical Transport (VAN) | 1869 India Palm Dr, Edgewater, FL 32132 | 2011-03-31 |
| 1649440728 | Advanced Care Agency Inc. | Nurse's Aide | 212 Shangri La Circle, Edgewater, FL 32132 | 2008-03-05 |
| 1962544031 | Mary Daine Swindle | Nurse's Aide | 212 Shangri La Cr, Edgewater, FL 32132 | 2007-02-13 |
| 1003957465 | Alan Leonard Horowitz | Chiropractor | 612 N Ridgewood Ave, Suite I, Edgewater, FL 32132 | 2007-02-09 |
| 1255415550 | Professional Physical Therapy and Associates Ltd Co | Physical Therapist | 1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 | 2006-10-24 |
| 1205919362 | David Storm Chess | Chiropractor | 930 S Ridgewood Ave, Edgewater, FL 32132 | 2006-10-23 |
| 1235231242 | Roger Prieto | Dentist | 1401 S Ridgewood Ave, Edgewater, FL 32132 | 2006-09-01 |
| 1497861306 | Crystal R Mead | Physician Assistant | 109 W Knapp Avenue, Edgewater, FL 32132 | 2006-08-22 |
| Find all providers in zip 32132 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134593742 | Brittany Mcnamee | Physician Assistant | 2703 Unity Tree Dr, Edgewater, FL 32141-5211 | 2015-11-19 |
| 1023395902 | Lorena M Eguez | Physician Assistant | 120 Panorama Dr, Edgewater, NJ 07020-7240 | 2011-11-07 |
| 1063637155 | Rosemary Ingado | Physician Assistant | 20 Mayo Road, Suite 201, Edgewater, MD 21037 | 2007-04-16 |
| 1497861306 | Crystal R Mead | Physician Assistant | 109 W Knapp Avenue, Edgewater, FL 32132 | 2006-08-22 |
| 1730117078 | Robert Segarra | Physician Assistant | 812 W Indian River Blvd, Edgewater, FL 32132-3429 | 2006-06-28 |
| 1700870177 | Donald J Huggard | Physician Assistant | 812 W Indian Blvd., Edgewater, FL 32132-3429 | 2005-08-31 |
| 1588021257 | Mackenzie Doshi | Physician Assistant | 3168 Braverton St, Suite 340, Edgewater, MD 21037-2674 | 2016-01-26 |
| 1063749422 | Nicole Marie Masson | Physician Assistant | 3168 Braverton St, Suite 340, Edgewater, MD 21037-2674 | 2009-11-05 |
| 1003882598 | Brian Bechtold | Physician Assistant | 103 River Rd, Edgewater, NJ 07020-1010 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.