MS. BRIDGET KELLIE BURKE-WAMMACK


Address: 1235 Conservancy Dr E, Tallahassee, FL 32312-6744
Phone: 8505246346

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA 18418 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS C8161 01

Office Location

Street Address 1235 CONSERVANCY DR E
City TALLAHASSEE
State FL
Zip Code 32312-6744

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City TALLAHASSEE
Zip Code 32312

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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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