# BLUE CROSS STAFFING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043993512
- **Authorized official:** LASHONDA SMITH (OWNER)
- **Authorized official phone:** (817) 726-3014

## Contact information

- **Practice address:** 9058 BREEZY MEADOW WAY, ORLANDO, FL 32829-8118
- **Practice address phone:** (817) 726-3014
- **Mailing address:** 9058 BREEZY MEADOW WAY, ORLANDO, FL 32829-8118
- **Mailing address phone:** (817) 726-3014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 163WH1000X | Hospice Registered Nurse | — | NULL | — |
| 163WH1000X | Hospice Registered Nurse | — | — | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | NULL | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | — | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | NULL | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | — | — |
| 163WN0003X | Low-Risk Neonatal Registered Nurse | — | NULL | — |
| 163WN0003X | Low-Risk Neonatal Registered Nurse | — | — | — |
| 163WP0200X | Pediatric Registered Nurse | — | NULL | — |
| 163WP0200X | Pediatric Registered Nurse | — | — | — |
| 163WS0121X | Plastic Surgery Registered Nurse | — | NULL | — |
| 163WS0121X | Plastic Surgery Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2084H0002X | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084H0002X | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 08/10/2023
