POLLY MIDURA (NPI# 1497257380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497257380 |
| Entity Type | Individual |
| Full Name | POLLY MIDURA |
| Credential | RN |
| Practice Address |
303 Saint Charles Ave Niceville FL 32578-1025 |
| Mailing Address |
9201 E Mountain View Rd Scottsdale AZ 85258-5199 |
| Practice Telephone | 5015291899 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9405595 | FL | Nursing Service Providers |
| Street Address |
303 SAINT CHARLES AVE |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 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 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992088942 | Shay D Griffin | Registered Nurse | 296 Bayshore Dr, Niceville, FL 32578-2423 | 2011-09-26 |
| 1932288750 | Randi F. Lutz | Registered Nurse | 141 Baywind Dr, Niceville, FL 32578-4801 | 2006-11-03 |
| 1851860571 | Karena Dawn Karshbaum | Registered Nurse | 401 Mcewen Dr, Niceville, FL 32578-2741 | 2018-11-26 |
| 1275917270 | Stephanie L Faist | Registered Nurse | 401 Mcewen Dr, Niceville, FL 32578-2741 | 2015-07-20 |
| 1902201916 | Leslie Tatum | Registered Nurse | 401 Mcewen Dr, Niceville, FL 32578-2741 | 2014-11-03 |
| 1174945760 | Helen Rhawn Tidwell | Registered Nurse | 1001 College Blvd W, Niceville, FL 32578-1099 | 2014-01-15 |
| 1073868303 | Staci Pearce Frazier | Registered Nurse | 401 Mcewen Dr, Niceville, FL 32578-2741 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538988 | Marlo Caldevilla | Registered Nurse | 1108 N Franklin St Unit 305, Tampa, FL 33602-3801 | 2020-11-07 |
| 1366043267 | Lovey Harris | Registered Nurse | 1018 Calloway St, Tallahassee, FL 32304-2127 | 2020-11-06 |
| 1932700184 | Angela Damon Colon | Registered Nurse | 1221 Morning Dove Ct, Saint Johns, FL 32259-2919 | 2020-11-04 |
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| 1902406580 | Teresa Marie Crowder | Registered Nurse | 1101 Blanding Blvd Ste 105, Orange Park, FL 32065-6700 | 2020-10-31 |
| 1710587878 | Toniell Rodriguez | Registered Nurse | 11210 Sw 61st Ter, Miami, FL 33173-1024 | 2020-10-28 |
| 1487254470 | Edelisse V Rivera | Registered Nurse | 90 Sw 3rd St Ph 3, Miami, FL 33130-4069 | 2020-10-28 |
| 1982204178 | Dominique Simone Gordon | Registered Nurse | 2861 Emerson Dr Se, Palm Bay, FL 32909-5254 | 2020-10-28 |
| 1144820143 | Jamille Honor | Registered Nurse | 8296 Sw 103rd Street Rd, Ocala, FL 34481-1701 | 2020-10-28 |
| 1750981890 | Daphne Louise Weeks | Registered Nurse | 12220 Ledbury Commons Dr, Gibsonton, FL 33534-3025 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.