CHRISTINE KENNEDY WEAKLEY (NPI# 1326372848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326372848 |
| Entity Type | Individual |
| Full Name | CHRISTINE KENNEDY WEAKLEY |
| Credential | PA |
| Practice Address |
1823 N 9th Ave Pensacola FL 32503-5270 |
| Practice Telephone | 8504323293 |
| Mailing Telephone | 8504323293 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9107019 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 98645 | 01 |
| Street Address |
1823 N 9TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789774 | Phillip Craig Benton | Orthopaedic Surgery | 1823 N 9th Ave, Pensacola, FL 32503-5270 | 2005-06-08 |
| 1114921921 | William Edgar Smith Jr. | Orthopaedic Surgery | 1823 N 9th Ave, Pensacola, FL 32503-5270 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1518593326 | Shelby Jane Carson | Physician Assistant | 8333 N Davis Hwy Fl 3, Pensacola, FL 32514-6050 | 2020-03-13 |
| 1477194934 | Alyssa Brooke Mayer | Physician Assistant | 4501 N Davis Hwy Ste A, Pensacola, FL 32503-2724 | 2019-10-04 |
| 1720638448 | Frances Ponsuwan Bell | Physician Assistant | 5151 N 9th Ave # 200, Pensacola, FL 32504-8721 | 2019-09-14 |
| 1881242022 | Kendall Hoover | Physician Assistant | 190 E Intendencia St # A-28, Pensacola, FL 32502-5806 | 2019-08-30 |
| 1477047181 | Taylor Elaine Morrison | Physician Assistant | 4901 Marketplace Road, Pensacola, FL 32504-8986 | 2018-06-15 |
| 1245771591 | Tina Rayfield | Physician Assistant | 12480 Seratine Dr, Pensacola, FL 32506-9601 | 2017-03-19 |
| 1891166344 | Kevin Lacz | Physician Assistant | 100 S Baylen St, Suite A, Pensacola, FL 32502-5825 | 2015-10-09 |
| 1831448653 | Hillary H. Doussan | Physician Assistant | 8333 N. Davis Hwy, Pensacola, FL 32514-6050 | 2012-09-07 |
| 1891004560 | Lauren Andrea Treven | Physician Assistant | 3205 E Olive Rd, Apt 80, Pensacola, FL 32514-7239 | 2010-09-29 |
| 1285948703 | Sarah Grace Purdy | Physician Assistant | 5503 Admiral Doyle Rd, Pensacola, FL 32506-5353 | 2010-07-27 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on CHRISTINE KENNEDY WEAKLEY.
| 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.