JOANNA PEACOCK (NPI# 1609289792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609289792 |
| Entity Type | Individual |
| Full Name | JOANNA PEACOCK |
| Credential | RN |
| Practice Address |
12832 Nw Central Ave Bristol FL 32321-6918 |
| Practice Telephone | 8506432292 |
| Practice Fax Number | 8506432309 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN 9302350 | FL | Nursing Service Providers |
| Street Address |
12832 NW CENTRAL AVE |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321-6918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567796 | John David Smith | Dentist | 12832 Nw Central Ave, Bristol, FL 32424 | 2005-09-02 |
| 1477966521 | Gidgetta Thomas | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2014-06-06 |
| 1174940308 | Melissa Kincaid | Dental Hygienist | 12832 Nw Central Ave, Liberty County Health Department, Bristol, FL 32321-6918 | 2014-03-26 |
| 1568736353 | Florida Department of Health | Public Health or Welfare | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2012-02-27 |
| 1104107226 | Sandra Jean Ford | Nurse Practitioner | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2011-09-01 |
| 1629259940 | Florida Department of Health | Clinic/Center | 12832 Nw Central Ave, Bristol, FL 32321 | 2007-11-15 |
| 1710910849 | Jocelyn I Stowell | Advanced Practice Midwife | 12832 Nw Central Ave, Bristol, FL 32321-0489 | 2006-07-09 |
| 1578533808 | Cynthia Marie Kimbrel | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-26 |
| 1568432524 | Angela Rose Bracewell | Registered Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-24 |
| 1184694283 | Karla Grace Johnson | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| 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 |
|---|---|---|---|---|
| 1235756180 | Debra Lea England Stevens | Registered Nurse | 802 Lake St Unit B, Bristol, NH 03222-4507 | 2020-06-26 |
| 1992328470 | Travis Nathaniel Meade | Registered Nurse | 13608 King Mill Pike, Bristol, VA 24202-4442 | 2020-05-19 |
| 1447727987 | Alexander Gray Moore | Registered Nurse | 1 Medical Park Blvd Fl 5, Bristol, TN 37620-7430 | 2018-11-01 |
| 1720585235 | Amanda Marie Watson | Registered Nurse | 224 Crown St, Bristol, CT 06010-6125 | 2018-04-11 |
| 1417469958 | Rebekah C Weaver | Registered Nurse | 350 Blountville Hwy Ste 105, Bristol, TN 37620-1676 | 2017-10-24 |
| 1538689542 | Jaime L Wilson | Registered Nurse | 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 | 2017-06-21 |
| 1144772997 | Donna Obryan Franklin | Registered Nurse | 10796 Nw Mickey Dr, Bristol, FL 32321-3342 | 2016-10-27 |
| 1538612338 | Tiffany Miller | Registered Nurse | 17144 Bristol Hwy, Bristol, VA 24202-6561 | 2016-07-27 |
| 1609238153 | Jennifer Conyers | Registered Nurse | 11815 Nw Summers Rd, Bristol, FL 32321-3341 | 2016-03-23 |
| 1477924371 | Maureen Schilder | Registered Nurse | 200 Blakeslee St Apt 62, Bristol, CT 06010-6399 | 2015-10-18 |
| Find all providers in BRISTOL | ||||
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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.