MRS. KELLY CHRISTINE STUBBLEFIELD (NPI# 1598877953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598877953 |
| Entity Type | Individual |
| Full Name | MRS. KELLY CHRISTINE STUBBLEFIELD |
| Credential | NURSE PRACTITIONER |
| Practice Address |
530 Fontaine St Pensacola FL 32503 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 8504744775 |
| Practice Fax Number | 8504848223 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9425348 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Fontaine St, Pensacola, FL 32503 | 8504744775 | 8504848223 |
| 1200 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 325614855 | 8002437546 | 8504848223 |
| 540 Fontaine St, Pensacola, FL 325032019 | 8002437546 | 8504848223 |
| Street Address |
530 FONTAINE ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536508 | William B Henghold II | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2005-08-23 |
| 1083259642 | Forefront Dermatology, S.c. | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2019-11-07 |
| 1164814547 | Patrizia Angela Lewis | Nurse Practitioner | 530 Fontaine St, Pensacola, FL 32503-2019 | 2015-02-23 |
| 1699115014 | Luke Hyder | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-06-29 |
| 1760724314 | Henghold Surgery Center LLC | Clinic/Center | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-03-21 |
| 1861666398 | Jeanette Nadine Batchelor | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2008-04-16 |
| 1851308589 | Beverly Tippens Quenneville | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503 | 2006-08-02 |
| 1306850797 | Jerome Paul Fairchild | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-07-28 |
| 1770519647 | Debra Martin Cole | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| Find all providers in PENSACOLA | ||||
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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.