CASSANDRA BOLTJA (NPI# 1033630983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033630983 |
| Entity Type | Individual |
| Full Name | CASSANDRA BOLTJA |
| Credential | DO |
| Practice Address |
5153 N 9th Ave Fl 6 Pensacola FL 32504-8785 |
| Mailing Address |
5153 North 9th Ave 6th Floor Nemours Pensacola FL 32504 |
| Practice Telephone | (850) 416-7658 |
| Practice Fax Number | 8504167710 |
| Mailing Telephone | 8504167658 |
| Mailing Fax Number | 8504167710 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | UO5748 | FL | Student, Health Care |
| Street Address |
5153 N 9TH AVE FL 6 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043747439 | Julissa Andree Jimenez | Student in an Organized Health Care Education/Training Program | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2017-05-16 |
| 1386122406 | Ishani Jhamb | Student in an Organized Health Care Education/Training Program | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2018-07-31 |
| 1891216586 | Paulina Tram Anh Tran Bauer | Pediatrics | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2017-07-03 |
| 1538680418 | Evangelos Spyridakis | Student in an Organized Health Care Education/Training Program | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2017-06-30 |
| 1326569286 | Daniel B Marth | Student in an Organized Health Care Education/Training Program | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2017-06-30 |
| 1437688280 | Robin Chelsie Garrison | Student in an Organized Health Care Education/Training Program | 5153 N 9th Ave Fl 6, Pensacola, FL 32504-8785 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801453 | Madeline Wingard | Student in an Organized Health Care Education/Training Program | 4835 Randee Cir, Pensacola, FL 32526-2050 | 2020-08-17 |
| 1588275192 | Brittany Stretch | Student in an Organized Health Care Education/Training Program | 1801 E Maxwell St, Pensacola, FL 32503-5464 | 2020-08-17 |
| 1285245894 | Farrukh Shahzad | Student in an Organized Health Care Education/Training Program | 5001 Grande Dr Apt 821, Pensacola, FL 32504-8955 | 2020-08-17 |
| 1588280770 | Adam Lavan | Student in an Organized Health Care Education/Training Program | 15 Billingsley Dr, Pensacola, FL 32508-1029 | 2020-06-23 |
| 1043847353 | Darcy Suzanne Robbins | Student in an Organized Health Care Education/Training Program | 2132 Oakstream Ave, Pensacola, FL 32526-8894 | 2020-03-25 |
| 1427680396 | Sam Oliver Borowski | Student in an Organized Health Care Education/Training Program | 2240 Dupont Dr, Pensacola, FL 32503-4212 | 2020-02-10 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1396309092 | Elanor Peterson | Student in an Organized Health Care Education/Training Program | 1800 E Jordan St, Pensacola, FL 32503-5455 | 2019-04-28 |
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| Find all providers in PENSACOLA | ||||
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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.