KYLE GAVIN ROUNTREE (NPI# 1518322700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518322700 |
| Entity Type | Individual |
| Full Name | KYLE GAVIN ROUNTREE |
| Credential | NP |
| Practice Address |
12139 Panama City Beach Pkwy Panama City Beach FL 32407-2609 |
| Mailing Address |
12139 Panama City Beach Parkway Panama City Beach FL 32407 |
| Practice Telephone | 8502342242 |
| Practice Fax Number | 8502342262 |
| Mailing Telephone | 8502342242 |
| Mailing Fax Number | 8502342262 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9420735 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1015587 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12139 PANAMA CITY BEACH PKWY |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32407-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740449719 | Jessica Lynn Clark | Dermatology | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2008-06-05 |
| 1487011722 | Doug Guilbault | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2016-01-18 |
| 1770985509 | Samuel David Kranz | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2014-09-24 |
| 1295165983 | Mikala Weatherhead | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2013-11-18 |
| 1083984736 | Brian Scott Farrell | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2012-01-11 |
| 1639447253 | Christopher Ohsie | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2011-12-09 |
| 1235434945 | Paige M Hanger | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2011-01-12 |
| 1922003789 | Sylvia M Smith | Chiropractor | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| Find all providers in zip 32407 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699655 | Amy Wang | Nurse Practitioner | 1784 Annabellas Dr, Panama City Beach, FL 32407-6823 | 2020-08-13 |
| 1104437201 | Taylor Rae Hastings | Nurse Practitioner | 6234 Sunset Dr, Panama City Beach, FL 32408-6346 | 2020-08-12 |
| 1255899894 | Ashley Hopson | Nurse Practitioner | 101 Grand Falls Ln, Panama City Beach, FL 32407-0202 | 2019-03-02 |
| 1396239547 | Travis Lee Wiggins | Nurse Practitioner | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 | 2018-06-20 |
| 1861819963 | Jessica Jaworski | Nurse Practitioner | 204 Jase Cir, Panama City Beach, FL 32408-7478 | 2014-03-26 |
| 1386903425 | Michelle Angela Norris | Nurse Practitioner | 22219 Panama City Beach Pkwy, Panama City Beach, FL 32413-3227 | 2012-05-10 |
| 1114099660 | Carmel Dillard Hawkins | Nurse Practitioner | 9961 E County Highway 30a, Suite 5, Panama City Beach, FL 32413-7282 | 2006-11-13 |
| 1437229226 | Janet Lynn Gysi | Nurse Practitioner | 120 Sandalwood Ln, Panama City Beach, FL 32413-2667 | 2006-11-08 |
| 1306881636 | Janis Kay Green | Nurse Practitioner | Gulf Coast Outpatient Clinic, Naval Support Activity PC, 101 Vernon Ave Ste 387, Panama City Beach, FL 32407-7018 | 2006-06-19 |
| 1902897457 | Joellen Sue Flory | Nurse Practitioner | 12234 Panama City Beach Pkwy, Suite C, Panama City Beach, FL 32407-2725 | 2005-11-03 |
| Find all providers in PANAMA CITY BEACH | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32407 |
Please comment or provide details below to improve the information on KYLE GAVIN ROUNTREE.
| 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.