MRS. MATILDA JANSEN (NPI# 1043500945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043500945 |
| Entity Type | Individual |
| Full Name | MRS. MATILDA JANSEN |
| Other Name | MATILDA DYRMISHI |
| Credential | ACNP |
| Practice Address |
5153 N 9th Ave Suite 404 Pensacola FL 32504-8785 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504164970 |
| Practice Fax Number | 8504164969 |
| Mailing Telephone | 8504164970 |
| Mailing Fax Number | 8504164969 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP 9220087 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5153 N 9TH AVE SUITE 404 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590158 | Don K Nakayama | Surgery | 5153 N 9th Ave, Suite 307, Pensacola, FL 32504-8785 | 2005-07-01 |
| 1518582287 | Lisa Wright | Nurse Practitioner | 5153 N 9th Ave, Pediatric Office Building, Pensacola, FL 32504-8785 | 2020-06-09 |
| 1275160780 | Brianna Davis | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2020-03-25 |
| 1891320461 | Jolee Brooke Sanborn | Nurse Practitioner | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2020-03-04 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1184129371 | Heisirys Pittman | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-03-28 |
| 1558879510 | Elaine Alba Craft | Registered Nurse | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-01-11 |
| 1467967414 | Rena J Nord | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2017-12-12 |
| 1578080479 | Amanda G Wolford | Physician Assistant | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2017-08-23 |
| 1902346794 | Shannan Ward | Nurse Practitioner | 5153 N 9th Ave, Suite 302, Pensacola, FL 32504-8785 | 2017-02-28 |
| Find all providers in the same location | ||||
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470362 | Chanci Alford Mascelli | Nurse Practitioner | 1502 Creighton Rd, Pensacola, FL 32504-7143 | 2020-06-05 |
| 1477092211 | Kerry Powell | Nurse Practitioner | 5153 N 9th Ave Ste 404, Pensacola, FL 32504 | 2017-02-13 |
| 1215352026 | Cathy Mcgovern | Nurse Practitioner | 4600 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 | 2014-03-03 |
| 1396343323 | Tabitha Power | Nurse Practitioner | 4700 Bayou Blvd Ste 6, Pensacola, FL 32503-1901 | 2020-10-12 |
| 1467079970 | Kristina A Gallagher | Nurse Practitioner | 2120 E Johnson Ave, Pensacola, FL 32514-6036 | 2020-06-30 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1528693983 | Nancy Franklin | Nurse Practitioner | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-03-05 |
| 1447881404 | Monique Renee Wyche | Nurse Practitioner | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2020-01-29 |
| 1528613734 | Colby Keith Sullivan | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2019-08-05 |
| 1750940268 | Lauren Mary Myers | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-08 |
| 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.