ANGELA M PRIDGEON (NPI# 1104804517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104804517 |
| Entity Type | Individual |
| Full Name | ANGELA M PRIDGEON |
| Practice Address |
7026 Vida Ln Jacksonville FL 32222-1785 |
| Practice Telephone | 9045730727 |
| Mailing Telephone | 9045730727 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
7026 VIDA LN |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32222-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1053874578 | Silver Linings Community Care, LLC. | Home Health Aide | 250 Cherry Ridge #1435, Jacksonville, FL 32222 | 2019-04-11 |
| 1588144802 | Fleming Total Support Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6760 Portofina Ct, Jacksonville, FL 32222 | 2018-08-16 |
| 1447736293 | Phyllis N Parrish | Home Health Aide | 10506 Innisbrook Dr, Jacksonville, FL 32222 | 2018-07-16 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
| 1801334834 | Stacey Nicole Harden | Nurse Practitioner | 9785 Corsshill Blvd, Suite 108, Jacksonville, FL 32222 | 2017-02-09 |
| 1184031841 | Andrew Todd Pinder | Family Medicine | 8355 Merchants Gate Drive, Jacksonville, FL 32222 | 2014-07-15 |
| 1538455142 | Ricky Wallace | Social Worker | 10512 Innisbrook Drive, Jacksonville, FL 32222 | 2011-06-22 |
| 1477597680 | Kelly Lynne Broekhof | Registered Nurse | Bldg 2104 Massey Ave, Naval Station Mayport, Jacksonville, FL 32222 | 2006-06-16 |
| Find all providers in zip 32222 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528259348 | Natalie Lynn Crump | Day Training/Habilitation Specialist | 3015 Cesery Blvd, Jacksonville, FL 32277-3501 | 2007-08-07 |
| 1902013790 | Felicia Woodruff | Day Training/Habilitation Specialist | 303 Randall Dr, Jacksonville, AR 72076-9276 | 2007-05-17 |
| 1346457306 | Shamika N Sparkman | Day Training/Habilitation Specialist | 305 Forest Oak Dr, Jacksonville, AR 72076-3778 | 2007-05-17 |
| 1427167493 | Robin Clemons | Day Training/Habilitation Specialist | 2551 Kohn Rd, Jacksonville, FL 32210-3684 | 2006-08-30 |
| 1679683767 | Dorothy Green | Day Training/Habilitation Specialist | 145 W 40th St, Jacksonville, FL 32206-6441 | 2006-08-30 |
| 1700995792 | Willie Jackson II | Day Training/Habilitation Specialist | 1860 Memory Ln, Jacksonville, FL 32210-1308 | 2006-08-30 |
| 1114036183 | Bernice Lampkin | Day Training/Habilitation Specialist | 10240 Elmhurst Dr, Jacksonville, FL 32218-5417 | 2006-08-30 |
| 1164531125 | Veneranda Tabu | Day Training/Habilitation Specialist | 4047 Corrientes Ct E, Jacksonville, FL 32217-4314 | 2006-08-30 |
| 1093727323 | Rose Byron | Day Training/Habilitation Specialist | 212 W 44th St, Jacksonville, FL 32208-5208 | 2006-08-13 |
| 1720090038 | Tawana Lizzmore | Day Training/Habilitation Specialist | 11405 Quailhollow Dr, Jacksonville, FL 32218-3621 | 2006-08-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32222 |
Please comment or provide details below to improve the information on ANGELA M PRIDGEON.
| 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.