MICHELLE L EDMONDS (NPI# 1033300678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033300678 |
| Entity Type | Individual |
| Full Name | MICHELLE L EDMONDS |
| Credential | M.D. |
| Practice Address |
6484 Fort Caroline Rd Jacksonville FL 32277-2042 |
| Practice Telephone | 9047447300 |
| Practice Fax Number | 9047261554 |
| Mailing Telephone | 9047447300 |
| Mailing Fax Number | 9047261554 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3059962 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949529 | Michelle Marie Edmonds | Speech-Language Pathologist | 624 Bay Ridge Pkwy, Apt 2, Brooklyn, NY 11209-3330 | 2010-08-11 |
| 1609371533 | Michelle Shake Edmonds | Pharmacist | 570 Enon Springs Rd E, Smyrna, TN 37167-4409 | 2018-03-23 |
| Street Address |
6484 FORT CAROLINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222696 | Elaine G Holmes | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2005-08-15 |
| 1225656085 | Kameron David Mullaney | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2020-07-08 |
| 1356998280 | Chima Ekwueme | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2019-08-26 |
| 1033609789 | Anissa Brisbane-mcfadden | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2018-05-17 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1386017689 | Amanda Dupree | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2015-11-09 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1407259476 | Carolyn Mcclinton | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-10-03 |
| 1659773562 | James Beatty | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-09-23 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1164697157 | Brianne Graves | Psychologist | 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616 | 2008-04-29 |
| 1407217391 | Kathleen Bashore | Occupational Therapy Assistant | 8057 Le Havre Dr N, Jacksonville, FL 32277-0902 | 2016-03-18 |
| 1518431394 | Daniel Corristan | Specialist/Technologist | 7721 Leesburg Dr S, Jacksonville, FL 32277-0925 | 2019-01-15 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
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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.