DR. KENDRA J TICE (NPI# 1396186102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396186102 |
| Entity Type | Individual |
| Full Name | DR. KENDRA J TICE |
| Credential | RN, MSN,DNP |
| Practice Address |
4732 Polaris St Jacksonville FL 32205-5008 |
| Practice Telephone | 9043810512 |
| Practice Fax Number | 9043810878 |
| Mailing Telephone | 9043810512 |
| Mailing Fax Number | 9043810878 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9239299 | FL | Nursing Service Providers |
| N | 174H00000X | Health Educator | RN9239299 | FL | Other Service Providers |
| Street Address |
4732 POLARIS ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
| 1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
| 1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
| 1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
| 1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
| 1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
| 1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
| 1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
| 1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
| Find all providers in zip 32205 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| 1851998934 | Shekelia Jones Johnson | Registered Nurse | 3412 Natalie Dr S, Jacksonville, FL 32218-6532 | 2020-10-02 |
| 1598374365 | Dawn Bivins-davis | Registered Nurse | 4150 Beflort Rd, Suite 551642, Jacksonville, FL 32255 | 2020-07-28 |
| 1497383129 | Alice Gbelayan | Registered Nurse | 5858 Theed St, Jacksonville, FL 32211-4649 | 2020-03-30 |
| 1588295901 | Yashica Harris Smalls | Registered Nurse | 401 Ponderosa Dr, Jacksonville, FL 32218-0319 | 2020-02-04 |
| 1104461334 | Stacy Ann Scott-morrell | Registered Nurse | 342 E 46th St, Jacksonville, FL 32208-5480 | 2019-11-12 |
| 1215571641 | Belinda Fleischer | Registered Nurse | Guidewell, 4855 Town Center Parkway, Jacksonville, FL 32246-8437 | 2019-10-29 |
| 1922640234 | Rachel Kidder | Registered Nurse | 2478 Britney Lakes Ln, Jacksonville, FL 32221-3816 | 2019-10-09 |
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1275182073 | Dionne F Turner | Registered Nurse | 8201 Green Parrot Rd, Jacksonville, FL 32256-3280 | 2019-09-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32205 |
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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.