MS. DAWN MARIE AYCOCK (NPI# 1962772103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962772103 |
| Entity Type | Individual |
| Full Name | MS. DAWN MARIE AYCOCK |
| Credential | APRN-C |
| Practice Address |
520 Ne 542nd St Old Town FL 32680-3818 |
| Practice Telephone | 8635370644 |
| Mailing Telephone | 8635370644 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3191812 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN3191812 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004615000 | 05 |
| Street Address |
520 NE 542ND ST |
| City | OLD TOWN |
| State | FL |
| Zip Code | 32680-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050965 | Old Town Pharmacy Inc | Pharmacy | 26064 Us- 19, Old Town, FL 32680 | 2018-10-26 |
| 1609399336 | Ga Homecare Inc | Home Health | 25668 Se Hwy 19, Old Town, FL 32680 | 2017-07-25 |
| 1902298672 | Julie Williams | Behavioral Analyst | 4389 Ne 343 Highway, Old Town, FL 32680 | 2015-03-04 |
| 1568874626 | Old Town Pharmacy Inc | Pharmacy | 26064 Se Hwy 19, Old Town, FL 32680 | 2014-05-23 |
| 1346688603 | Georges Angels | In Home Supportive Care | 25674 Se 19 Hwy, Old Town, FL 32680 | 2013-06-10 |
| 1104848456 | Robert William Trask Sr. | Chiropractor | 26638 Se Us 19 Highway, Oldtown, FL 32680 | 2006-07-24 |
| 1457753980 | Christopher Evans | Pharmacist | 26064 Se Hwy 19, Old Town, FL 32680 | 2014-09-16 |
| 1891299392 | Lisa Lynn Rollison | Home Health Aide | 34 Ne 818th St, Old Town, FL 32680-2567 | 2018-03-20 |
| 1891973798 | Eileen Maureen Patterson | Registered Nurse | 9216 Ne 349 Hwy, Old Town, FL 32680-2681 | 2008-02-04 |
| 1700343886 | Behavior Analysis Services and Solutions, LLC. | Behavioral Analyst | 4389 Ne Highway 353, Old Town, FL 32680-2705 | 2019-02-26 |
| Find all providers in zip 32680 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| 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.