TRACEY E PINKSTON, MD, PA (NPI# 1639304702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639304702 |
| Entity Type | Organization |
| Organization Name | TRACEY E PINKSTON, MD, PA |
| Practice Address |
4300 Bayou Blvd Suite 5 Pensacola FL 32503-1949 |
| Practice Telephone | 8504731008 |
| Practice Fax Number | 8504731009 |
| Mailing Telephone | 8504731008 |
| Mailing Fax Number | 8504731009 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | TRACEY E PINKSTON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8504731008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | HCC7432 | FL | Ambulatory Health Care Facilities |
| Street Address |
4300 BAYOU BLVD SUITE 5 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039538 | Gerald William Grass | Anesthesiology | 4300 Bayou Blvd, Suite 17b, Pensacola, FL 32503-1949 | 2005-11-04 |
| 1437699576 | Melissa Cardona | Behavioral Analyst | 4300 Bayou Blvd, Suite 17a, Pensacola, FL 32503-1949 | 2017-03-07 |
| 1871945360 | Haley Duke Papajohn | Counselor | 4300 Bayou Blvd, Suite 21, Pensacola, FL 32503-1949 | 2016-07-07 |
| 1093172207 | Eileen Wolfe | Counselor | 4300 Bayou Blvd, Suite 21, Pensacola, FL 32503-1949 | 2016-01-19 |
| 1346605086 | Pensacola Therapy Services, LLC | Counselor | 4300 Bayou Blvd, Suite 21, Pensacola, FL 32503-1949 | 2015-12-23 |
| 1407220494 | Pensacola Counselor LLC | Counselor | 4300 Bayou Blvd, Suite 21, Pensacola, FL 32503-1949 | 2015-11-14 |
| 1740686872 | Plateful of Yum LLC | Dietitian, Registered | 4300 Bayou Blvd, Suite 37, Pensacola, FL 32503-1949 | 2014-11-18 |
| 1689084105 | Aids Healthcare Foundation | Clinic/Center | 4300 Bayou Blvd, Suite 17d, Pensacola, FL 32503 | 2014-05-06 |
| 1245640127 | Molly Kasper | Marriage & Family Therapist | 4300 Bayou Blvd, Suite 25b, Pensacola, FL 32503-1949 | 2014-05-01 |
| 1932529393 | Regan Hager | Counselor | 4300 Bayou Blvd, Suite 25b, Pensacola, FL 32503-1949 | 2014-04-23 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194380675 | Pulse Medical Group Inc. | Clinic/Center | 6202 N 9th Ave Ste 1, Pensacola, FL 32504-8293 | 2019-05-09 |
| 1134664139 | Patricia Ann Rutledge-capers, Lmhc | Clinic/Center | 8800 University Pkwy Ste C-1b, Pensacola, FL 32514-4927 | 2016-12-29 |
| 1144605734 | Lovelace Counseling Services | Clinic/Center | 411 E Government St, Pensacola, FL 32502-6131 | 2015-07-23 |
| 1215324736 | Access Care Medical Group, LLC | Clinic/Center | 2123 Juno Cir, Pensacola, FL 32526 | 2015-04-22 |
| 1245412055 | John G Brown P A | Clinic/Center | 1901 N 9th Ave, Pensacola, FL 32503-4535 | 2007-12-04 |
| 1619489812 | Audiology Services Company Usa, LLC | Clinic/Center | 5147 N 9th Ave Ste 315, Pensacola, FL 32504-8794 | 2017-10-27 |
| 1811354129 | The Diabetes and Endocrine Center of Pensacola LLC | Clinic/Center | 6160 N Davis Hwy, Suite 10a, Pensacola, FL 32504-6994 | 2016-01-19 |
| 1689084105 | Aids Healthcare Foundation | Clinic/Center | 4300 Bayou Blvd, Suite 17d, Pensacola, FL 32503 | 2014-05-06 |
| 1598812901 | Children's Home Society of Florida | Clinic/Center | 1300 N Palafox St, Suite 101, Pensacola, FL 32501-2664 | 2007-01-05 |
| 1932256609 | Children's Home Society of Florida | Clinic/Center | 1300 N Palafox St, Suite 101, Pensacola, FL 32501-2664 | 2007-01-04 |
| 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.