LACIE MANTHRIPRAGADA (NPI# 1982018024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982018024 |
| Entity Type | Individual |
| Full Name | LACIE MANTHRIPRAGADA |
| Credential | PA-C |
| Practice Address |
615 E Princeton St Ste 101 Orlando FL 32803-1435 |
| Practice Telephone | 4072360006 |
| Practice Fax Number | 4072360007 |
| Mailing Telephone | 4072360006 |
| Mailing Fax Number | 4072360007 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112408 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C05294 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 E PRINCETON ST STE 101 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893504 | Matthew Paul Diehl | Physician Assistant | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2005-12-27 |
| 1225651425 | Chelsie K Smyth | Clinical Neuropsychologist | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2020-05-21 |
| 1508310194 | Daniella D Orpi | Nurse Practitioner | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2016-08-11 |
| 1437546090 | Veneshia Campbell | Counselor | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2015-04-22 |
| 1376770362 | Rachel-marie Annieta Cazeau | Pediatrics | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2009-06-17 |
| 1013125913 | Kaveh Asadi-moghaddam | Neurological Surgery | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2007-05-21 |
| 1700830833 | Roger J Hudgins | Neurological Surgery | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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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.