MS. KRISTY A RATTANAVONG I (NPI# 1982103149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982103149 |
| Entity Type | Individual |
| Full Name | MS. KRISTY A RATTANAVONG I |
| Practice Address |
450 Brentwood Club Cv Longwood FL 32750-3354 |
| Practice Telephone | 4072566786 |
| Mailing Telephone | 4072566786 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
450 BRENTWOOD CLUB CV |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476029 | Lauren Elizabeth Linda | Specialist/Technologist, Other | 1110 Airport Blvd Ste B, Pensacola, FL 32504-8608 | 2020-08-10 |
| 1265067839 | Delmar Diagnostics LLC | Specialist/Technologist, Other | 1001 Brickell Bay Dr Ste 2700, Miami, FL 33131-4940 | 2020-03-04 |
| 1518458421 | Brittani Marie Brown | Specialist/Technologist, Other | 4851 Glenburne Dr, Spring Hill, FL 34609-0569 | 2018-05-25 |
| 1538668645 | Victoria Lopez | Specialist/Technologist, Other | 11624 Rouse Run Cir, Orlando, FL 32817-4554 | 2018-02-04 |
| 1811496920 | Kristen M Mendoza | Specialist/Technologist, Other | 108 N Coopers Hawk Way, Palm Coast, FL 32164-2312 | 2018-02-04 |
| 1205377645 | Alyssa Franco | Specialist/Technologist, Other | 2400 Grand Poplar St, Ocoee, FL 34761-7642 | 2017-03-18 |
| 1497294086 | Roxanne Notte | Specialist/Technologist, Other | 2110 Bayberry Dr, Pembroke Pines, FL 33024-1405 | 2017-02-16 |
| 1750828810 | Maritza De La Caridad Hernandez Perez | Specialist/Technologist, Other | 444 Alemeda Dr, Palm Springs, FL 33461-1504 | 2017-01-27 |
| 1508300625 | Stacey Menard | Specialist/Technologist, Other | 415 Ne 2nd St Apt 120, Hallandale Beach, FL 33009-4363 | 2016-12-08 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 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.