LISA LYNN3 PEACOCK (NPI# 1578059309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578059309 |
| Entity Type | Individual |
| Full Name | LISA LYNN3 PEACOCK |
| Other Name | LISA LYNNE PEABODY |
| Practice Address |
10423 Centurion Pkwy N Jacksonville FL 32256-0527 |
| Mailing Address |
40 E Adams St Ste 210 Jacksonville FL 32202-3356 |
| Practice Telephone | 9048542000 |
| Mailing Telephone | 9042651810 |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1710245006 | Lisa Martinez Peacock | Social Worker | 8001 Shawnee Mission Pkwy, Suite 250c, Merriam, KS 66202-2966 | 2012-04-24 |
| 1134768211 | Lisa Peacock | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-01-06 |
| 1952475287 | Lisa Marie Peacock | Nurse Practitioner | 2325 Garfield Rd N, Traverse City, MI 49686-5127 | 2006-11-20 |
| 1295721462 | Lisa Marie Peacock | Obstetrics & Gynecology | 3700 Saint Charles Ave, 5th Floor, New Orleans, LA 70115-4637 | 2005-09-23 |
| Street Address |
10423 CENTURION PKWY N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-0527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145261 | Frederick D Baldwin | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2006-02-24 |
| 1992362156 | Guillermo Cabugao Milano Jr. | Specialist/Technologist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2019-05-23 |
| 1275057689 | Robert Hamilton Prengle | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2017-07-27 |
| 1396279576 | Jeffrey Austen Bedenbaugh | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2017-04-14 |
| 1922544352 | Katherine Ann Batiste | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2017-01-09 |
| 1558738773 | Justin Podell | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2015-08-24 |
| 1710378815 | Jessica Marie Magee | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256 | 2015-02-10 |
| 1376827477 | Amanda Henrietta Gildersleeve | Physical Therapist | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618842 | Christina Nicole Lewis | Health Educator | 3737 Saint Johns Bluff Rd S Apt 1514, Jacksonville, FL 32224-2608 | 2020-08-05 |
| 1982226916 | Marie K Mcclellan | Health Educator | 401 Oldtowne St, Jacksonville, NC 28546-8066 | 2020-05-13 |
| 1336707264 | Christy L Davis | Health Educator | 4205 Belfort Rd Ste 1005, Jacksonville, FL 32216-5876 | 2019-06-05 |
| 1386105625 | Jennifer Urbaniak Martin | Health Educator | 12724 Gran Bay Pkwy W Ste 150, Jacksonville, FL 32258-9486 | 2019-03-28 |
| 1528555786 | Janelle Burgess | Health Educator | 7643 Gate Pkwy Ste 104-323, Jacksonville, FL 32256-2893 | 2018-04-13 |
| 1558810994 | The Young Men's Christian Association of Florida's First Coast, Inc | Health Educator | 40 E Adams St, Suite 210, Jacksonville, FL 32202-3353 | 2016-09-27 |
| 1639461494 | Hugh Gregory Rappa | Health Educator | 6675 Coporate Center Parkway Suite 112, Jacksonville, FL 32216-8080 | 2011-05-11 |
| 1720387616 | Melissa Ca Johnson | Health Educator | 2344 Myra St, Jacksonville, FL 32204-3604 | 2011-03-18 |
| 1659695658 | Cv&d Healthcare Management Group | Health Educator | 2129 Holcroft Dr, Jacksonville, FL 32208-2550 | 2010-03-18 |
| 1275142333 | Camelia Kelly | Health Educator | 12724 Gran Bay Pkwy W Ste 150, Jacksonville, FL 32258-9486 | 2020-07-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on LISA LYNN3 PEACOCK.
| 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.