MS. BRIDGET KELLIE BURKE-WAMMACK (NPI# 1467614511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467614511 |
Entity Type | Individual |
Full Name | MS. BRIDGET KELLIE BURKE-WAMMACK |
Credential | LMT |
Practice Address |
1235 Conservancy Dr E Tallahassee FL 32312-6744 |
Practice Telephone | 8505246346 |
Practice Fax Number | 8503865252 |
Mailing Telephone | 8505246346 |
Mailing Fax Number | 8503865252 |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MA 18418 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | C8161 | 01 |
Street Address |
1235 CONSERVANCY DR E |
City | TALLAHASSEE |
State | FL |
Zip Code | 32312-6744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
Find all providers in zip 32312 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356753552 | Lattisha Chambers | Specialist | 3125 Sawtooth Dr, Tallahassee, FL 32303-7377 | 2014-05-22 |
1972885069 | Mary Geralyn Schaad | Specialist | 1118 Thomasville Rd Ste C, Tallahassee, FL 32303-6282 | 2011-09-14 |
1861790875 | Spurgeon Walter Mcwilliams, M.d. P.a. | Specialist | 1620 Riggins Rd, Tallahassee, FL 32308-5316 | 2011-03-01 |
1720242134 | Kathleen Knox Yale | Specialist | 4905 Lester Rd, Tallahassee, FL 32317-7129 | 2008-07-15 |
1073775847 | Brett A Pace | Specialist | 224 Lafayette Cir, Tallahassee, FL 32303-6216 | 2008-07-02 |
1568640977 | Loriane Robin Geist | Specialist | 304 N Meridian St, Suite 2, Tallahassee, FL 32301-7634 | 2008-02-07 |
1538341672 | Jason Barry Owens | Specialist | 226 W 8th Ave, Tallahassee, FL 32303-5505 | 2007-11-30 |
1528257482 | Valerie Ayla Fox | Specialist | 1304 E 6th Ave, Suite 5, Tallahassee, FL 32303-6506 | 2007-10-17 |
1053502070 | Barbara H Riche' | Specialist | 228 Lafayette Cir, Tallahassee, FL 32303-6216 | 2007-08-06 |
1144420209 | Tatum Ashley Cameron | Specialist | 2112 Wesley Ct, Tallahassee, FL 32303-2451 | 2007-07-18 |
Find all providers in TALLAHASSEE |
City | TALLAHASSEE |
Zip Code | 32312 |
Please comment or provide details below to improve the information on MS. BRIDGET KELLIE BURKE-WAMMACK.
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.