SAMANTHA RAZAVI HANES (NPI# 1427340934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427340934 |
| Entity Type | Individual |
| Full Name | SAMANTHA RAZAVI HANES |
| Credential | ARNP |
| Practice Address |
3627 University Blvd S Suite 700 Jacksonville FL 32216-4230 |
| Practice Telephone | 9043995678 |
| Practice Fax Number | 9043998488 |
| Mailing Telephone | 9043995678 |
| Mailing Fax Number | 9043998488 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA-12326-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015482700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164086179 | Samantha Jo Hanes | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2019-04-24 |
| Street Address |
3627 UNIVERSITY BLVD S SUITE 700 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024310 | Eugene Rawson Griffin IIi | Family Medicine | 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 | 2005-06-22 |
| 1770020232 | Holly Noelle Anderson | Physician Assistant | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2017-01-23 |
| 1629510599 | Jennifer Sally Waldon | Physician Assistant | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2016-11-09 |
| 1922550474 | Digestive Disease Consultants | Internal Medicine | 3627 University Blvd S, Ste 430, Jacksonville, FL 32216-4230 | 2016-11-01 |
| 1235688359 | Megan Messer | Physician Assistant | 3627 University Blvd S, Suite 430, Jacksonville, FL 32216-4230 | 2016-09-30 |
| 1649632951 | Memorial Family Practice, LLC | Psychiatric Hospital | 3627 University Blvd S, Suite 235, Jacksonville, FL 32216-4230 | 2016-03-25 |
| 1215309539 | Payal Gohari | Pharmacist | 3627 University Blvd S, Suite 120, Jacksonville, FL 32216-4230 | 2015-10-26 |
| 1588033419 | Hayley Gant Patridge | Physician Assistant | 3627 University Blvd S, Suite 500, Jacksonville, FL 32216-4230 | 2015-09-22 |
| 1821495540 | Hillary Patton | Nurse Practitioner | 3627 University Blvd S, Jacksonville, FL 32216-4230 | 2014-11-24 |
| 1083059315 | Amy Lee Deichert | Speech-Language Pathologist | 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4230 | 2013-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1265917124 | Sandra Jayussi | Nurse Practitioner | 7406 Fullerton Ave, Jacksonville, FL 32256 | 2018-09-26 |
| 1427563980 | William Phillips | Nurse Practitioner | 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 | 2017-12-06 |
| 1366977902 | Annette Faulkner Wall | Nurse Practitioner | 14601 Swansea Ct, Jacksonville, FL 32258-4446 | 2017-04-20 |
| 1730457565 | Tressie Brooks | Nurse Practitioner | 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 | 2011-12-07 |
| 1346563129 | Brooke Leigh Mcduffie | Nurse Practitioner | 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978 | 2010-03-08 |
| 1558536490 | Jacquelyn Danette Cannon | Nurse Practitioner | 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 | 2008-04-22 |
| 1003969627 | Mike J Primeaux | Nurse Practitioner | 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 | 2007-01-18 |
| 1700819372 | Paula F New | Nurse Practitioner | 3221 Henderson Dr, Jacksonville, NC 28546-5251 | 2006-07-08 |
| 1114972841 | Roxanna A Mcdonald | Nurse Practitioner | 1947 Morningside St, Jacksonville, FL 32205-9390 | 2006-05-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.