SACRED HEART HOSPITAL OF PENSACOLA (NPI# 1629518998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518998 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Other Organization Name | SHMG WALGREENS NAVARRE |
| Practice Address |
8220 Navarre Pkwy Navarre FL 32566-6943 |
| Mailing Address |
Po Box 2699 Attn: Hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504167272 |
| Practice Fax Number | 8504167274 |
| Mailing Telephone | 8504167272 |
| Mailing Fax Number | 8504167274 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | RONDA MICHELLE BOND (TRANSFORMATION SPECIALIST) |
| Authorized Official Telephone | 8504754682 |
| Authorized Official Credential | CMA, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 77885 | 01 |
| Other Name | Type Code |
|---|---|
| SHMG Walgreens Navarre | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1306363007 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2017-08-24 |
| 1205376480 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2017-03-07 |
| 1881134153 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2017-03-06 |
| 1790225068 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2017-03-06 |
| 1326099763 | Sacred Heart Hospital of Pensacola | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-8715 | 2006-05-12 |
| Street Address |
8220 NAVARRE PKWY |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114121 | Walgreen Co | Pharmacy | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2006-07-29 |
| 1073883286 | Huy Gia Tran | Pharmacist | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2012-01-04 |
| 1184993875 | Douglas Kormondy | Pharmacist | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2011-12-25 |
| 1790054740 | Kenneth Douglas Gade | Pharmacist | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2011-12-20 |
| 1326324476 | Susan Vandivier | Pharmacist | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237000 | Destiny Laine Jefferson | Nurse Practitioner | 2721 Creeks Edge Ln, Navarre, FL 32566-8666 | 2020-08-29 |
| 1316578347 | Frances Ann Haswell | Nurse Practitioner | 1892 Biscayne Blvd, Navarre, FL 32566-2966 | 2020-01-29 |
| 1811470693 | Gabriela Lavoy | Nurse Practitioner | 2582 Hartman Ct, Navarre, FL 32566-2568 | 2018-09-08 |
| 1205372976 | Sherrie Melissa Koenigseder | Nurse Practitioner | 7552 Navarre Pkwy Unit 10, Navarre, FL 32566-7312 | 2017-01-18 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1043429079 | Ivonne Fabiola Nieves | Nurse Practitioner | 7530 Treasure St, Navarre, FL 32566-7875 | 2007-05-22 |
| 1073536603 | Nancy D Hart | Nurse Practitioner | 7473 Sandstone St, Navarre, FL 32566-7613 | 2006-07-25 |
| 1831715804 | William Dolphus Kimbrell Iv | Nurse Practitioner | 7552 Navarre Pkwy Unit 28, Navarre, FL 32566-7308 | 2020-06-24 |
| 1295231421 | Patricia Ann Burnett | Nurse Practitioner | 8990 Navarre Pkwy, Navarre, FL 32566-2216 | 2018-04-05 |
| 1780187682 | Katie Lloyd | Nurse Practitioner | 2068 Health Care Ave, Navarre, FL 32566-2901 | 2018-03-16 |
| Find all providers in NAVARRE | ||||
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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.