NORTH FLORIDA REHABILITATION, INC. (NPI# 1679620710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679620710 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA REHABILITATION, INC. |
| Practice Address |
404 Nw Hall of Fame Dr Lake City FL 32055-4833 |
| Mailing Address |
Po Box 2134 Lake City FL 32056-2134 |
| Practice Telephone | 3867582238 |
| Practice Fax Number | 3867582071 |
| Mailing Telephone | 3867582238 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANET S. OAKES (PRESIDENT) |
| Authorized Official Telephone | 3867582238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT5220 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED PROV NUMBER | 256082 | 01 |
| FL | BLUE CROSS PROV NUMBER | R1C | 01 |
| Street Address |
404 NW HALL OF FAME DR |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713727 | Pamela Nichols Robinson | Nurse Anesthetist, Certified Registered | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2005-10-07 |
| 1902466881 | Samantha Andersen Smythe | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-06-13 |
| 1063975175 | Cardiovascular Center of America | Surgery | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-04-08 |
| 1851808224 | Cassie Ebert | Internal Medicine | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2018-01-06 |
| 1053851451 | Elaina Williamson | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-03-03 |
| 1457899577 | Jordan Cunningham | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-02-09 |
| 1013303254 | Therapycare Home Health LLC | Home Health | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2015-04-14 |
| 1437553161 | Bryce Catarelli | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2014-10-09 |
| 1477982882 | Brandon Johnson | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-11-06 |
| 1568890663 | Brian Sganga | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| 1437579372 | Shara Evans | Specialist | 501 Nw Lake City Ave, Apt 103, Lake City, FL 32055 | 2014-04-18 |
| 1073959136 | Vernon Taylor Smith | Specialist | 2537 Elk Road, Lake City, CO 81235 | 2013-05-16 |
| 1346478989 | Tiffani Mote | Specialist | 315 Sw Pheasant Way, Lake City, FL 32024-1146 | 2009-06-22 |
| 1972790517 | Jorga Snyder Duran | Specialist | 214 Se Tribble St, Lake City, FL 32025-0108 | 2007-09-27 |
| 1326239179 | Michelle Caroline Hatton | Specialist | 4852 S Us Highway 441, Lake City, FL 32025-0310 | 2007-08-07 |
| 1023210986 | North Fl Arthritis Clinic, Pa. | Specialist | 4551 W Est Us 90, Suite 102, Lake City, FL 32055 | 2007-06-04 |
| 1023102555 | Pastor H. Rios, Md | Specialist | 449 Se Baya Drive, Lake City, FL 32025 | 2006-10-02 |
| 1447352760 | Juan R Baralt | Specialist | 619 South Marion, Lake City, FL 32025-5808 | 2006-09-05 |
| 1457376055 | William Clark Griggs | Specialist | 238 East Main Street, Lake City, SC 29560 | 2006-07-13 |
| Find all providers in LAKE CITY | ||||
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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.