SAMANTHA NOWAKOWSKI (NPI# 1245701002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245701002 |
| Entity Type | Individual |
| Full Name | SAMANTHA NOWAKOWSKI |
| Practice Address |
1361 13th Ave S Ste 270 Jacksonville Beach FL 32250-3258 |
| Mailing Address |
12912 Huntley Manor Dr Jacksonville FL 32224-7908 |
| Practice Telephone | 9042417147 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-04-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082574 | Samantha Nowakowski | Massage Therapist | 6823 Spring Valley Dr, Holland, OH 43528-9487 | 2020-08-05 |
| Street Address |
1361 13TH AVE S STE 270 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171044 | Carlos M Sotolongo | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1649721085 | Devon M Anthony | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-10-20 |
| 1548714728 | Kelly Bumgarner | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-08-05 |
| 1659548949 | Nicolas Charles Condrey | Physician Assistant | 1361 13th Ave S Ste 270, Credentialing Department, Jacksonville Beach, FL 32250-3258 | 2008-05-15 |
| 1659329308 | Mona Jay Shah | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2006-05-05 |
| 1235131657 | William Wainwright | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1669474086 | Pamela Ramos Rama-depadua | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1770585184 | Bernardo Manuel Utset | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| 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 |
|---|---|---|---|---|
| 1003428111 | Kayla Marie Demus | Physician Assistant | 1382 Blue Heron Ln N, Jacksonville Beach, FL 32250-8505 | 2020-08-19 |
| 1174133391 | Nicole Auld | Physician Assistant | 1419 4th St N, Jacksonville Beach, FL 32250-7318 | 2020-08-03 |
| 1609346659 | Rachel Dierks Buttrey | Physician Assistant | 1370 13th Ave S Ste 216, Jacksonville Beach, FL 32250-3206 | 2018-12-03 |
| 1801365085 | Francisco Jose Gil | Physician Assistant | 617 7th Ave S, Jacksonville Beach, FL 32250-5239 | 2018-11-17 |
| 1538652581 | Amy Helen Wiley | Physician Assistant | 1210 2nd St N Apt A, Jacksonville Beach, FL 32250-7281 | 2018-06-13 |
| 1982269361 | Samantha R Gill | Physician Assistant | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2019-05-01 |
| 1033603964 | Dean Sybesma | Physician Assistant | 1350 13th Ave S, Jacksonville Beach, FL 32250 | 2018-06-14 |
| 1487157111 | Paula Brown | Physician Assistant | 1350 13th Ave S, Jacksonville Beach, FL 32250-3203 | 2018-03-08 |
| 1649721085 | Devon M Anthony | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-10-20 |
| 1548714728 | Kelly Bumgarner | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-08-05 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.