KIZZY MICHELLE MCCRAY-SHEPPARD (NPI# 1407495062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407495062 |
| Entity Type | Individual |
| Full Name | KIZZY MICHELLE MCCRAY-SHEPPARD |
| Practice Address |
4266 Sunbeam Rd Jacksonville FL 32257-2425 |
| Mailing Address |
1588 Ne 47th Pl Gainesville FL 32609-8957 |
| Practice Telephone | 9042685200 |
| Mailing Telephone | 3522464836 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11004298 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4266 SUNBEAM RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126774 | Community Hospice of N.e. Florida | Hospice Care, Community Based | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2005-06-28 |
| 1851909808 | Allison Raquel Monique Sapp | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-07-15 |
| 1366066615 | Caitlin Elizabeth Mills | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-06-02 |
| 1275016560 | Paula J Hoffman | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2018-09-12 |
| 1033620208 | Jennifer A Schroeder | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-10-16 |
| 1245770379 | Latonya Denise Green | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257 | 2017-03-08 |
| 1255877452 | Tiffany Lynne Odell | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-01-11 |
| 1336683705 | Adrienne Boyd Hampton | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-12-05 |
| 1932651528 | Tameka Nicole Hammond | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-10-29 |
| 1225489131 | Neelie Brigman Sutton | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786338 | Bernardo C Lobusta Jr. | Nurse Practitioner | 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 | 2020-09-26 |
| 1720695513 | Kristin Browning | Nurse Practitioner | 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 | 2020-09-25 |
| 1780295667 | Sharnice Letia White | Nurse Practitioner | 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 | 2020-08-13 |
| 1891305082 | Kayla Susan Weller | Nurse Practitioner | 4361 Gadsden Ct, Jacksonville, FL 32207-6218 | 2020-08-03 |
| 1952925315 | Michelle Benefield | Nurse Practitioner | 605 W Beaver St, Jacksonville, FL 32202-4722 | 2020-06-02 |
| 1831739887 | Melanie Bautista | Nurse Practitioner | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-01-07 |
| 1235776279 | Janine Mancusi | Nurse Practitioner | 417 Brody Cove Trl, Jacksonville, FL 32225-5113 | 2019-12-10 |
| 1114576881 | Delesa Gabrielle Bradley | Nurse Practitioner | 1602 S Jackson St, Jacksonville, TX 75766-3028 | 2019-09-05 |
| 1508411190 | Jaclyn Michelle Bowden | Nurse Practitioner | 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 | 2019-08-09 |
| 1386297414 | Rebecca Newell | Nurse Practitioner | 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 | 2019-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.