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KATIE DIENELL

License Number: PA9117206

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9117206
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/09/2023
Address of Record
Jackson North Medical Center
160 NW 170th Street
NORTH MIAMI BEACH, FL 33169
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ADDERLEY, PATTON Supervising Prescribing Practitioner Medical Doctor 161981 01/18/2024
AKINBOBUYI, OLUFUNKE Supervising Prescribing Practitioner Medical Doctor 143849 02/08/2024
ALEXIS, JACQUES FERES Supervising Prescribing Practitioner Medical Doctor 153714 02/12/2024
ALVAREZ, DAVID MANUEL Supervising Prescribing Practitioner Medical Doctor 142880 01/19/2024
AMBROISE, RITCHIE LEONARD Supervising Prescribing Practitioner Medical Doctor 145468 08/26/1968
AMISIAL, JEAN MICHEL Supervising Prescribing Practitioner Medical Doctor 110803 01/12/2024
AYASH, MOHAMED I Supervising Prescribing Practitioner Medical Doctor 131462 04/08/2024
BARANSKI, OLIVIA Supervising Prescribing Practitioner Medical Doctor 160854 01/18/2024
BELL, JOHN LUIS Supervising Prescribing Practitioner Medical Doctor 123481 05/11/2024
BROCETA MARTINEZ, ABELARDO Supervising Prescribing Practitioner Medical Doctor 158493 01/17/2024
CABRERA CANDELARIA, ROXANA Supervising Prescribing Practitioner Medical Doctor 157997 01/17/2024
CAMPOS MONELL, SARAH Supervising Prescribing Practitioner Medical Doctor 105691 01/18/2024
CHAUDHRY, ZAHID HUSSAIN Supervising Prescribing Practitioner Medical Doctor 160728 02/05/2024
CRUZ, ALEXANDRA Supervising Prescribing Practitioner Osteopathic Physician 19813 01/17/2024
DAVIS II, CEDRIC EMDEN Supervising Prescribing Practitioner Medical Doctor 108693 04/08/2024
DEL TORO BAEZ, PEDRO PABLO Supervising Prescribing Practitioner Medical Doctor 107597 01/12/2024
DESIR, HEDSON RICARDO Supervising Prescribing Practitioner Medical Doctor 153221 02/09/2024
DRURY, TYLER BARRETT Supervising Prescribing Practitioner Osteopathic Physician 20206 01/17/2024
DURANDIS, JOSEPH Supervising Prescribing Practitioner Medical Doctor 110670 01/21/2024
EDEOGA, CHIMAROKE Supervising Prescribing Practitioner Medical Doctor 130896 02/12/2024
FITZSIMMONS, BRIAN-FRED MENDELSOHN Supervising Prescribing Practitioner Medical Doctor 164201 06/30/2024
JOHNS VADASSERIL, BEN Supervising Prescribing Practitioner Medical Doctor 143447 02/09/2024
KASS, THOMAS JOSEPH Supervising Prescribing Practitioner Medical Doctor 50754 02/21/2024
KHAN, ZAFAR M S Supervising Prescribing Practitioner Medical Doctor 121235 02/21/2024
LEYKIND, YELENA Supervising Prescribing Practitioner Medical Doctor 159280 01/17/2024
LOPEZ LEON, MILENIS Supervising Prescribing Practitioner Medical Doctor 163844 06/27/2024
LOPEZ, CARLOS ADRIAN Supervising Prescribing Practitioner Medical Doctor 127222 01/30/2024
LUCAS, NOEL MANALAC Supervising Prescribing Practitioner Osteopathic Physician 20552 01/26/2024
LUGO, ADRIAN Supervising Prescribing Practitioner Medical Doctor 156098 02/13/2024
MADANIEH, RAEF Supervising Prescribing Practitioner Medical Doctor 129970 02/07/2024
MALONE, MERCEDES Supervising Prescribing Practitioner Medical Doctor 166015 05/08/2024
MARTINEZ, BRANDEN Supervising Prescribing Practitioner Osteopathic Physician 21112 06/27/2024
MEDEROS TRUJILLO, ORESTES Supervising Prescribing Practitioner Medical Doctor 156095 01/24/2024
MIRANDA, ESTEBAN Supervising Prescribing Practitioner Medical Doctor 167962 06/27/2024
MIRZA, IMRAN HUMAYUN Supervising Prescribing Practitioner Medical Doctor 113910 02/08/2024
NGUYEN, MY TIEN Supervising Prescribing Practitioner Osteopathic Physician 18292 01/24/2024
OBEROI, JAY Supervising Prescribing Practitioner Medical Doctor 150609 06/01/2024
OLASUNKANMI, TOLULOPE MATHIAS Supervising Prescribing Practitioner Medical Doctor 130642 02/21/2024
ORTIZ MANSO, ROSALYN Supervising Prescribing Practitioner Medical Doctor 149576 02/21/2024
PATEL, JUI Supervising Prescribing Practitioner Medical Doctor 153660 07/19/2024
PATEL, NIKASH JAY Supervising Prescribing Practitioner Medical Doctor 142082 02/23/2024
PEAVLER, CASEY BRETT Supervising Prescribing Practitioner Medical Doctor 129299 01/17/2024
PEREZ PEREZ, RICHARD Supervising Prescribing Practitioner Medical Doctor 115044 05/02/2024
PHANCAO, FRANCOIS Supervising Prescribing Practitioner Medical Doctor 95736 04/24/2024
PUTMAN, LESLIE SUE Supervising Prescribing Practitioner Physician Assistant 3042 02/21/2024
RAMOS PACHON, CARLOS MANUEL Supervising Prescribing Practitioner Medical Doctor 159720 05/31/2024
ROCHELIN CHERY, MARTINE FRESNELLE Supervising Prescribing Practitioner Medical Doctor 140863 02/26/2024
ROCHELIN, DAVID MD Supervising Prescribing Practitioner Medical Doctor 106398 01/26/2024
SANCHEZ VALDIVIESO, BERTHA ELVIRA Supervising Prescribing Practitioner Medical Doctor 123747 04/04/2024
SARDINAS, GIEZY Supervising Prescribing Practitioner Medical Doctor 114980 01/17/2024
SILVA, LESLY Supervising Prescribing Practitioner Medical Doctor 143509 01/11/2024
SINGH, NIRMAL BRAR Supervising Prescribing Practitioner Medical Doctor 78855 02/13/2024
STANISLAS, AMOS Supervising Prescribing Practitioner Medical Doctor 163714 02/15/2024
STOKES, AUSTIN CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 13621 02/09/2024
SUAREZ, LISBET D Supervising Prescribing Practitioner Medical Doctor 132091 02/09/2024
TEJERA QUESADA, CLAUDIA Supervising Prescribing Practitioner Medical Doctor 160576 04/17/2024
TORRES, JUAN ERNESTO Supervising Prescribing Practitioner Medical Doctor 157193 04/24/2024
TOTFALUSI, VICTOR Supervising Prescribing Practitioner Osteopathic Physician 10987 01/23/2024
VAUGHAN, AUDREA OLIVIA Supervising Prescribing Practitioner Osteopathic Physician 14060 02/05/2024
VENUTI, NICHOLAS STEPHEN Supervising Prescribing Practitioner Medical Doctor 161734 05/28/2024
VILELA SANGAY, ANA ROSA Supervising Prescribing Practitioner Medical Doctor 168799 07/08/2024
VILME, MADELAINE J Supervising Prescribing Practitioner Medical Doctor 97054 03/28/2024
WONG, ERIC ALAN Supervising Prescribing Practitioner Medical Doctor 163811 01/19/2024
WONPAT, ELIZABETH CORRINE BAGLEY Supervising Prescribing Practitioner Medical Doctor 101685 01/17/2024
WRIGHT, LATRISHA ASHLEY WHIGHAM Supervising Prescribing Practitioner Medical Doctor 138504 03/01/2024

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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