ELANOR PETERSON (NPI# 1396309092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396309092 |
| Entity Type | Individual |
| Full Name | ELANOR PETERSON |
| Practice Address |
1800 E Jordan St Pensacola FL 32503-5455 |
| Mailing Address |
5992 Berryhill Rd Ste 205 Milton FL 32570-1014 |
| Practice Telephone | 8502937247 |
| Mailing Telephone | 8502937247 |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1800 E JORDAN ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-5455 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801453 | Madeline Wingard | Student in an Organized Health Care Education/Training Program | 4835 Randee Cir, Pensacola, FL 32526-2050 | 2020-08-17 |
| 1588275192 | Brittany Stretch | Student in an Organized Health Care Education/Training Program | 1801 E Maxwell St, Pensacola, FL 32503-5464 | 2020-08-17 |
| 1285245894 | Farrukh Shahzad | Student in an Organized Health Care Education/Training Program | 5001 Grande Dr Apt 821, Pensacola, FL 32504-8955 | 2020-08-17 |
| 1588280770 | Adam Lavan | Student in an Organized Health Care Education/Training Program | 15 Billingsley Dr, Pensacola, FL 32508-1029 | 2020-06-23 |
| 1043847353 | Darcy Suzanne Robbins | Student in an Organized Health Care Education/Training Program | 2132 Oakstream Ave, Pensacola, FL 32526-8894 | 2020-03-25 |
| 1427680396 | Sam Oliver Borowski | Student in an Organized Health Care Education/Training Program | 2240 Dupont Dr, Pensacola, FL 32503-4212 | 2020-02-10 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1700344124 | Meagan Jones | Student in an Organized Health Care Education/Training Program | 619 Rhea Ln, Pensacola, FL 32534-9791 | 2019-03-05 |
| Find all providers in PENSACOLA | ||||
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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.