HEATHER LYNNE DISTELRATH


Address: 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152
Phone: 8504444700

HEATHER LYNNE DISTELRATH (NPI# 1427545664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427545664
Entity Type Individual
Full Name HEATHER LYNNE DISTELRATH
Credential ARNP-C
Practice Address 1619 Creighton Rd Ste 1
Pensacola
FL 32504-7152
Practice Telephone 8504444700
Practice Fax Number 8504348144
Mailing Telephone 8504444700
Mailing Fax Number 8504447497
Enumeration Date 2018-04-13
Last Update Date 2018-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9333996 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9333996 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1619 CREIGHTON RD STE 1
City PENSACOLA
State FL
Zip Code 32504-7152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273327 Edward L Friedland Internal Medicine 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2005-05-24
1790261550 David Kenneth Mason Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2018-07-16
1063906014 Rebecca Allen Thompson Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2018-06-21
1962904003 Dane Olivier Monnin Physician Assistant 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2018-03-05
1659817153 Allison Dew Edwards Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2017-01-09
1962851501 Dawn Renee Frederic Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504 2016-06-05
1710394549 Lynn Johnson Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2014-07-14
1710324553 Eve Albrecht Cox Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2013-06-03
1508174236 Amy Dugger Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2010-09-15
1942473053 Misty Lynn Willis Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2008-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659978393 Quinyatta Stride Behavior Technician 2511 Creighton Rd., Pensacola, FL 32504 2020-10-06
1962017657 Pt Solutions of Pensacola LLC Occupational Therapist 2114 Creighton Rd, Ste C, Pensacola, FL 32504 2020-09-10
1982226742 Elevate Behavioral Solutions Behavioral Analyst 4045 Renoir St, Pensacola, FL 32504 2020-05-14
1760021349 Veteran Evaluations of Florida Internal Medicine 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 2019-12-31
1215575527 First City Health LLC Pharmacy 6005 College Parkway, Suite 1, Pensacola, FL 32504 2019-12-17
1184261158 Claire Ann Letendre Audiologist 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 2019-12-09
1083275101 Benjamin Mcmillon Chiropractor 2629 Creighton Road, Suite 1, Pensacola, FL 32504 2019-06-28
1407342595 Faryal Munir Student in an Organized Health Care Education/Training Program Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 2018-07-02
1497252050 Sibyl Tenille Page Nurse Practitioner 5147 N 9th Ave Ste 322, Pensacola, FL 32504 2018-04-10
1396272589 Sacred Heart Hospital General Acute Care Hospital 2552 Carmel Heights Rd, Pensacola, FL 32504 2017-05-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
1275143760 Katherine Brooke Barnes Nurse Practitioner 816 Tanglewood Dr, Pensacola, FL 32503-3224 2020-08-09
1306462700 Jessica Hollingsworth Nurse Practitioner 4616 Marseille Dr, Pensacola, FL 32505-2624 2020-06-22
1427677756 Buffi G Bailey Nurse Practitioner 5980 Osprey Pl, Pensacola, FL 32504-7938 2020-04-16
1295215911 Selma Mehmedovic Nurse Practitioner 54 Assana Ct, Pensacola, FL 32506-9305 2018-08-21
1497252050 Sibyl Tenille Page Nurse Practitioner 5147 N 9th Ave Ste 322, Pensacola, FL 32504 2018-04-10
1750731774 Gulf Coast Health Care LLC Nurse Practitioner 40 Palafox Pl Ste 400, Pensacola, FL 32502-5699 2016-06-21
1538563028 Dana Bebber Nurse Practitioner 1230 Creighton Rd, Pensacola, FL 32504-7161 2014-10-13
1952702086 Peggy Davis Neese Nurse Practitioner 7641 Old Hickory Dr, Pensacola, FL 32507-1682 2014-09-08
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Competitor

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City PENSACOLA
Zip Code 32504

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Dataset Information

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.

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