Anesha Dashelle Mack Coley

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5184224 Issued in FL

Practice address

415 Dream Lake Dr
Apopka, FL 32712-4181

Phone

(407) 619-6333

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1326527557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SPRING HARVEST AVE APT 101",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572560",
            "telephone_number": "407-619-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DREAM LAKE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124181",
            "telephone_number": "407-619-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK COLEY",
        "first_name": "ANESHA",
        "middle_name": "DASHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5184224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lian Luo, PT, DPT
• Maa Ashapuri LLC
• Cristene Maas, DDS
• Rachel Macalua, PA-C
• David Aaron Macfadyen
• Megha Madala, PA-C
• Chasmine Saniya Madison
• Elizabeth Magloire, APRN
• Misbah Mussarat Mahmood
• Rajat Malik, DO

• Licensed Practical Nurse in Apopka, FL
• Providers in Apopka, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.