MRS. MARY KAE SANDIDGE (NPI# 1124395272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124395272 |
| Entity Type | Individual |
| Full Name | MRS. MARY KAE SANDIDGE |
| Credential | FNP-BC |
| Practice Address |
4348 Southpoint Blvd Ste 100 Jacksonville FL 32216-0903 |
| Mailing Address |
8000 Nw 80th Place Raiford FL 32083 |
| Practice Telephone | 9042811915 |
| Practice Fax Number | 9042811119 |
| Mailing Telephone | 9412326513 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 1853212 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004575500 | 05 |
| Street Address |
4348 SOUTHPOINT BLVD STE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356307649 | Peter W Frechette | Family Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-04-25 |
| 1205476793 | Rmed LLC | Pediatrics | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2020-01-13 |
| 1811537491 | Rmed LLC | Pediatrics | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2020-01-10 |
| 1891212973 | Christopher B Howard | Neurological Surgery | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2017-08-29 |
| 1922454586 | Lashaniqua Hamilton | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2016-05-12 |
| 1881004299 | Austin Moody | Family Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2014-05-07 |
| 1699072256 | Peri M. Sert | Family Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2011-02-17 |
| 1558488072 | Robert Markham Lancaster | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2007-03-22 |
| 1629146915 | Carrie Gilliam Baker | Internal Medicine | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-12-04 |
| 1295755833 | Cherron Michelle Johnson | Nurse Practitioner | 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on MRS. MARY KAE SANDIDGE.
| 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.