CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC (NPI# 1295236578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295236578 |
| Entity Type | Organization |
| Organization Name | CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC |
| Practice Address |
1381 Cross Creek Cir Tallahassee FL 32301-3729 |
| Mailing Address |
Po Box 7011 Tallahassee FL 32314-7011 |
| Practice Telephone | 8508776393 |
| Mailing Telephone | 8502846873 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | DR. OTIS WILBUR KIRKSEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8502846873 |
| Authorized Official Credential | PHARMD, BC-ADM, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS20980 | FL | Pharmacy Service Providers |
| Street Address |
1381 CROSS CREEK CIR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447438486 | Cross Creek Medical Pa | Internal Medicine | 1381 Cross Creek Cir, Suite A, Tallahassee, FL 32301-3723 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619439049 | Access Medical Health Plan Corp LLC | Pharmacist | 175 Salem Ct, Tallahassee, FL 32301-2809 | 2019-04-04 |
| 1649510983 | Ukamaka Amy Dike | Pharmacist | 5720 Fox Bridge Way, Tallahassee, FL 32317-9425 | 2013-02-24 |
| 1700175973 | Luis Carlos Pagan | Pharmacist | 1516 Keily Run, Tallahassee, FL 32301-6084 | 2011-03-28 |
| 1760712020 | Johnnie B Seay | Pharmacist | 1604 Laguna Dr, Tallahassee, FL 32308-0922 | 2010-01-10 |
| 1770062838 | Carol Metchell Broxton | Pharmacist | 2200 S Monroe St, Tallahassee, FL 32301-6303 | 2018-08-09 |
| 1134664212 | Milinda Hearns | Pharmacist | 1950 Commonwealth Ln, Tallahassee, FL 32303-3196 | 2016-12-29 |
| 1912332933 | Sean David Wimberley | Pharmacist | 1260 Metropolitan Blvd, Tallahassee, FL 32312-2557 | 2013-09-10 |
| 1013220078 | Velma Henry | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC.
| 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.