LEAH TEDDER (NPI# 1093045569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093045569 |
| Entity Type | Individual |
| Full Name | LEAH TEDDER |
| Practice Address |
2190 Highway 85 N Niceville FL 32578-1045 |
| Mailing Address |
4242 Jade Loop Destin FL 32541-5134 |
| Practice Telephone | 8507299490 |
| Mailing Telephone | 8085547640 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2013-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9105931 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2190 HIGHWAY 85 N |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215195 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2005-09-15 |
| 1184278350 | Louise Barthel | Registered Nurse | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2019-07-26 |
| 1336591122 | Whitney Temple | Dietitian, Registered | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2016-07-06 |
| 1902255946 | Fl-i Medical Services LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2016-06-09 |
| 1548633464 | Earnest Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1851764724 | Sentry Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1669881330 | Flagstone Peak Emergency Physicians LLC | Emergency Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2014-08-07 |
| 1477962462 | Flat Top Inpatient Services LLC | Internal Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2014-08-05 |
| 1831522614 | Vale of Paradise Emergency Physicians, LLC | Emergency Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2013-08-15 |
| 1376976217 | Florida Em-1 Medical Services, Pa | Emergency Medicine | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1720513856 | Five Star Healthcare, LLC | Physician Assistant | 535 Woodlow Rd, Niceville, FL 32578-2129 | 2017-04-26 |
| 1114085115 | Gregory Brent Archer | Physician Assistant | 550-a Twin Cities Boulevard, Orthopaedic and Spine Surgery Center, Niceville, FL 32578 | 2006-12-04 |
| 1902255946 | Fl-i Medical Services LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2016-06-09 |
| 1548633464 | Earnest Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1851764724 | Sentry Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1003298969 | Amanda Michelle Outly | Physician Assistant | 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 | 2015-06-26 |
| 1568886406 | James Darryl Smith | Physician Assistant | 4566 E Highway 20, Niceville, FL 32578-8838 | 2014-02-12 |
| 1235360389 | Sarah Marie Meleen | Physician Assistant | 4400 E Highway 20, Niceville, FL 32578-8779 | 2009-08-06 |
| 1730349242 | Kimberly Anne Berggren | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578 | 2008-06-10 |
| Find all providers in NICEVILLE | ||||
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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.