TIA SEA (NPI# 1285644724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285644724 |
| Entity Type | Individual |
| Full Name | TIA SEA |
| Other Name | KATHLEEN JANE EDMISTON |
| Credential | A.R.N.P. |
| Practice Address |
7855 Argyle Forest Blvd Suite 302 Jacksonville FL 32244-5596 |
| Practice Telephone | 9045946044 |
| Practice Fax Number | 9045946042 |
| Mailing Telephone | 9045946044 |
| Mailing Fax Number | 9045946042 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9172987 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7855 ARGYLE FOREST BLVD SUITE 302 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345142 | John J Goetze | Physical Therapist | 7855 Argyle Forest Blvd, Suite 504, Jacksonville, FL 32244-5596 | 2005-09-08 |
| 1235507989 | Kimberly M Underwood | Physical Therapist | 7855 Argyle Forest Blvd, 504, Jacksonville, FL 32244-5596 | 2015-09-11 |
| 1114287299 | Tiffany Byrd | Physician Assistant | 7855 Argyle Forest Blvd, Ste 701, Jacksonville, FL 32244-5596 | 2012-05-22 |
| 1336429448 | Dr.r. Johnson LLC | Community/Behavioral Health | 7855 Argyle Forest Blvd, Suite 906, Jacksonville, FL 32244-5596 | 2011-08-19 |
| 1346556248 | Reynaldo G Fermo Md Pa | Family Medicine | 7855 Argyle Forest Blvd, # 804, Jacksonville, FL 32244-5596 | 2010-08-30 |
| 1952636771 | Adam Zeccardi | Chiropractor | 7855 Argyle Forest Blvd, Ste 905, Jacksonville, FL 32244-7707 | 2009-10-13 |
| 1467685727 | Leavitt Medical Associates of Florida Inc | Dermatology | 7855 Argyle Forest Blvd, Suite701, Jacksonville, FL 32244-5596 | 2009-09-02 |
| 1740422476 | Elizabeth Wheeler Lee | Physical Therapist | 7855 Argyle Forest Blvd, Suite 504, Jacksonville, FL 32244-5596 | 2009-03-26 |
| 1033362298 | Roberto Aranas Dones | Physical Therapist | 7855 Argyle Forest Blvd, Suite 501, Jacksonville, FL 32244-5596 | 2008-10-31 |
| 1356505986 | Physicians Group Services Pa | Nurse Practitioner | 7855 Argyle Forest Blvd, Suite 601, Jacksonville, FL 32244-5596 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| 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 | 32244 |
Please comment or provide details below to improve the information on TIA SEA.
| 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.