MOLLY MARIE EVERITT (NPI# 1497252860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497252860 |
| Entity Type | Individual |
| Full Name | MOLLY MARIE EVERITT |
| Credential | PA |
| Practice Address |
2190 Fl-85 N Niceville FL 32578 |
| Mailing Address |
1606 27th St Niceville FL 32578-2819 |
| Practice Telephone | 8506784131 |
| Mailing Telephone | 8509740732 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 8911 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PAT911207 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2190 FL-85 N |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| 1326326869 | Alternative Living, Inc. | Assisted Living Facility | 1053 John Sims Parkway, Niceville, FL 32578 | 2011-08-02 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720513856 | Five Star Healthcare, LLC | Physician Assistant | 535 Woodlow Rd, Niceville, FL 32578-2129 | 2017-04-26 |
| 1114085115 | Gregory Brent Archer | Physician Assistant | 550-a Twin Cities Boulevard, Orthopaedic and Spine Surgery Center, Niceville, FL 32578 | 2006-12-04 |
| 1902255946 | Fl-i Medical Services LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2016-06-09 |
| 1548633464 | Earnest Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1851764724 | Sentry Emergency Physicians, LLC | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2015-11-02 |
| 1003298969 | Amanda Michelle Outly | Physician Assistant | 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 | 2015-06-26 |
| 1568886406 | James Darryl Smith | Physician Assistant | 4566 E Highway 20, Niceville, FL 32578-8838 | 2014-02-12 |
| 1093045569 | Leah Tedder | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578-1045 | 2010-01-06 |
| 1235360389 | Sarah Marie Meleen | Physician Assistant | 4400 E Highway 20, Niceville, FL 32578-8779 | 2009-08-06 |
| 1730349242 | Kimberly Anne Berggren | Physician Assistant | 2190 Highway 85 N, Niceville, FL 32578 | 2008-06-10 |
| Find all providers in NICEVILLE | ||||
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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.