COLLEEN O'KENNEDY SELETOS (NPI# 1992279996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992279996 |
| Entity Type | Individual |
| Full Name | COLLEEN O'KENNEDY SELETOS |
| Other Name | COLLEEN MARIE O'KENNEDY |
| Credential | PA-C |
| Practice Address |
2843 Shipston Ave New Port Richey FL 34655-3722 |
| Practice Telephone | 4074533885 |
| Mailing Telephone | 4074533885 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9111933 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DEPARTMENT OF HEALTH | 9111933 | 01 |
| Street Address |
2843 SHIPSTON AVE |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| 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 |
|---|---|---|---|---|
| 1598088460 | Kimberly Lockwood Flynn | Physician Assistant | 5809 Sunshine Park Dr, New Port Richey, FL 34652-5540 | 2010-03-08 |
| 1437281185 | Danielle Maria Kinsey | Physician Assistant | 9330 Sr 54, New Port Richey, FL 34655 | 2007-03-09 |
| 1053386797 | Brian Michael M. Swann | Physician Assistant | 9912 Little Rd, Va-opc-npr / PCc3, New Port Richey, FL 34654-3419 | 2006-02-17 |
| 1134110307 | Maya N Benton | Physician Assistant | 4807 Us Highway 19 Ste 102, New Port Richey, FL 34652-4260 | 2005-11-04 |
| 1912998493 | Dwight E Hofer | Physician Assistant | 5243 Hanff Ln, New Port Richey, FL 34652-4226 | 2005-11-02 |
| 1225500861 | Brittany Lynn Nooney | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-12-20 |
| 1417321969 | Tiffany L. Dodge | Physician Assistant | 5500 Little Rd, New Port Richey, FL 34655-1105 | 2015-11-20 |
| 1033587092 | Julie Marchenia | Physician Assistant | 5622 Marine Pkwy, Suite 14, New Port Richey, FL 34652-4333 | 2015-09-08 |
| 1710366406 | Sharon Garry | Physician Assistant | 6633 Forest Ave, Suite 203, New Port Richey, FL 34653-2612 | 2015-05-27 |
| 1427440544 | Stephanie Bonventre | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-02-26 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
Please comment or provide details below to improve the information on COLLEEN O'KENNEDY SELETOS.
| 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.