JENNIFER BANUELOS (NPI# 1104359215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104359215 |
Entity Type | Individual |
Full Name | JENNIFER BANUELOS |
Credential | ARNP |
Practice Address |
6425 Pensacola Blvd Suite 1-3 Pensacola FL 32505-1701 |
Mailing Address |
459 Grace Ave Panama City FL 32401-2756 |
Practice Telephone | 8504710017 |
Mailing Telephone | 8502156007 |
Mailing Fax Number | 8502156009 |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9227695 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6425 PENSACOLA BLVD SUITE 1-3 |
City | PENSACOLA |
State | FL |
Zip Code | 32505-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154352573 | Kenneth Lewis Andrus | Specialist | 6425 Pensacola Blvd, Office Park Plaza Suite 1, Pensacola, FL 32503-1701 | 2006-07-05 |
1811398845 | Kelly Bednarz | Marriage & Family Therapist | 6425 Pensacola Blvd, Suite 1-3, Pensacola, FL 32505-1701 | 2014-09-09 |
1821497744 | Tonya Anderson | Nurse Practitioner | 6425 Pensacola Blvd, Pensacola, FL 32505-1701 | 2014-08-15 |
1770830309 | Advanced Diabetic Solutions | Durable Medical Equipment & Medical Supplies | 6425 Pensacola Blvd, Building 2 Suite 5, Pensacola, FL 32505-1701 | 2012-08-14 |
1942219811 | Mary Louise Brawn | Emergency Medicine | 6425 Pensacola Blvd, Suite 7, Pensacola, FL 32505 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
Find all providers in zip 32505 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780111849 | Nicole Mosley | Nurse Practitioner | 101 S Jefferson St Apt C, Pensacola, FL 32502-5666 | 2017-05-18 |
1154620185 | Scott Aaron Durrance | Nurse Practitioner | 308 S Jefferson St, Pensacola, FL 32502-5969 | 2011-03-16 |
1184797458 | Debra Axley | Nurse Practitioner | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
1730796616 | Emily M Powell | Nurse Practitioner | 308 S Jefferson St, Pensacola, FL 32502-5969 | 2020-09-25 |
1639718455 | Danielle Pugh | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-26 |
1457992968 | Ashley Nicole Wei | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-06 |
1447713581 | Afua Ntiwa | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-04-06 |
1669939724 | Brandy Mihaly | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2019-02-25 |
1285198598 | Crystal Nichole Jones-lindsey | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-01-31 |
1477056943 | Marcia M Binion | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501 | 2018-03-12 |
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.