WHITNEY RENAE NIMMO-OLSEN (NPI# 1659770121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659770121 |
| Entity Type | Individual |
| Full Name | WHITNEY RENAE NIMMO-OLSEN |
| Other Name | WHITNEY RENAE NIMMO |
| Credential | ARNP |
| Practice Address |
725 S 6th St Macclenny FL 32063-9653 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 9042593150 |
| Practice Fax Number | 9042597890 |
| Mailing Telephone | 8778563774 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9371287 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y0Q50 | 01 |
| FL | 012979200 | 05 | |
| FL | MEDICARE | IA753X | 01 |
| FL | MEDICARE | IA753W | 01 |
| Street Address |
725 S 6TH ST |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144283219 | Angelito B Tecson | Family Medicine | 725 S 6th St, Macclenny, FL 32063 | 2006-04-10 |
| 1578028478 | Kassie Crews Shoup | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2019-02-05 |
| 1467986737 | First Coast Cardiovascular | Internal Medicine | 725 S 6th St, Macclenny, FL 32063-9653 | 2017-04-13 |
| 1205097060 | Tecson Family Practice Inc | Family Medicine | 725 S 6th St, Maccle, Macclenny, FL 32063 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550631 | Jessica Putney | Nurse Practitioner | 525 Islamorada Dr S, Macclenny, FL 32063-4260 | 2018-03-03 |
| 1578179123 | Ashley Turbyfill | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-09-18 |
| 1275152480 | Amy Michelle Harvey | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2020-04-09 |
| 1861032419 | Taylor Parker | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-01-12 |
| 1578028478 | Kassie Crews Shoup | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2019-02-05 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1225507874 | Cathy A Henderson | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2018-11-13 |
| 1477028561 | Lisa A Greenway | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2018-10-04 |
| 1043755069 | Linda Louise Heilman | Nurse Practitioner | 159 N 3rd St, Macclenny, FL 32063-2103 | 2016-12-29 |
| 1144605148 | Merredith Oakes | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2015-07-21 |
| Find all providers in MACCLENNY | ||||
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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.