SHERISSA CHANG-WILLIAMS (NPI# 1982726410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982726410 |
| Entity Type | Individual |
| Full Name | SHERISSA CHANG-WILLIAMS |
| Credential | PA-C |
| Practice Address |
7171 N Dale Mabry Hwy Suite 501 Tampa FL 33614-2630 |
| Practice Telephone | 8139353221 |
| Practice Fax Number | 8139338149 |
| Mailing Telephone | 8139353221 |
| Mailing Fax Number | 8139338149 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9104057 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7171 N DALE MABRY HWY SUITE 501 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023965 | Daniel Lawrence Gagner | Nurse Anesthetist, Certified Registered | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2630 | 2005-06-17 |
| 1043842768 | Alexandra Marie Patsalos | Nurse Practitioner | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2020-02-11 |
| 1538644190 | Lucia D. Segovia | Nurse Practitioner | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2018-09-30 |
| 1982128146 | Noelle Elizabeth Lelakus | Nurse Practitioner | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2017-07-31 |
| 1598134223 | Brad Bjornstad | Internal Medicine | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2015-09-23 |
| 1144699547 | Stacey Williamson | Nurse Practitioner | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2015-09-16 |
| 1083003180 | Northwood Anesthesia Associates LLC | Anesthesiology | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2015-01-13 |
| 1073809208 | William Harold Layton | Registered Nurse | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2011-06-27 |
| 1942506589 | Brittany Malagon | Emergency Medicine | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2011-01-30 |
| 1447569090 | Michelle C Lucas | Specialist/Technologist | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2630 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| 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 |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| Find all providers in TAMPA | ||||
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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.