KRISTIN MOFFEIT (NPI# 1245617083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245617083 |
| Entity Type | Individual |
| Full Name | KRISTIN MOFFEIT |
| Credential | APRN |
| Practice Address |
340 Magnolia Cir Tyndall Afb FL 32403-5612 |
| Practice Telephone | 8502837452 |
| Mailing Telephone | 8502837452 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN9448818 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN001917 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 MAGNOLIA CIR |
| City | TYNDALL AFB |
| State | FL |
| Zip Code | 32403-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335319 | Scott Mckim | Optometrist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2005-09-07 |
| 1215577127 | Sherri Lynn Kelley | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2020-01-08 |
| 1285275180 | Tyrome Laron Brown Jr. | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2019-10-01 |
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1619488806 | Clairissa Bradford | Social Worker | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-10-16 |
| 1205371069 | Sarah Woodside | Surgery | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-01-03 |
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| 1841668001 | David Morse | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2015-09-04 |
| 1083096838 | Christopher Davis IIi | Physician Assistant | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2015-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL AFB |
| Zip Code | 32403 |
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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.