KASSANDRA GNANN (NPI# 1780055152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780055152 |
| Entity Type | Individual |
| Full Name | KASSANDRA GNANN |
| Credential | ARNP |
| Practice Address |
430 College Dr Suite 100-102 Middleburg FL 32068-8530 |
| Practice Telephone | 9046448669 |
| Practice Fax Number | 9042981973 |
| Mailing Telephone | 9046448669 |
| Mailing Fax Number | 9042981973 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9337434 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
430 COLLEGE DR SUITE 100-102 |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-8530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316960735 | Milind V Tilak | Family Medicine | 430 College Dr, Ste 100-102-104-106, Middleburg, FL 32068-8530 | 2006-07-26 |
| 1679063259 | Giolette Nicole Lisenko | Behavioral Analyst | 430 College Dr, Middleburg, FL 32068-8530 | 2018-05-18 |
| 1295123867 | Elizabeth Trisotto | Nurse Practitioner | 430 College Dr, Suite 100-102, Middleburg, FL 32068-8530 | 2015-01-05 |
| 1528484318 | Kathryn Jones | Nurse Practitioner | 430 College Dr, Suite 100, Middleburg, FL 32068-8530 | 2014-03-17 |
| 1578803573 | William David Speer | Physician Assistant | 430 College Dr, Suite 104-106, Middleburg, FL 32068-8530 | 2013-02-27 |
| 1164772240 | Jamie E Wood | Nurse Practitioner | 430 College Dr, Suite 100-102, Middleburg, FL 32068-8530 | 2012-09-14 |
| 1710139506 | Patricia Mary Tate | Nurse Practitioner | 430 College Dr, Suite100, Middleburg, FL 32068-8530 | 2008-10-13 |
| 1912188657 | Audrey Vanetten-runte | Pharmacist | 430 College Dr, Suites 100, 102, 104, Middleburg, FL 32068-8530 | 2007-11-23 |
| 1679641690 | Sharon Renee Winner | Psychologist | 430 College Dr, Suite 100-102, Middleburg, FL 32068-8530 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616083 | Christin Delaney | Nurse Practitioner | 974 Sunny Stroll Dr, Middleburg, FL 32068-3597 | 2020-10-13 |
| 1023621596 | Jason John Bailey | Nurse Practitioner | 1304 Coopers Hawk Way, Middleburg, FL 32068-8787 | 2020-08-25 |
| 1689214520 | Emily Sayas | Nurse Practitioner | 4755 Leopard Cir, Middleburg, FL 32068-6446 | 2020-01-08 |
| 1881233500 | Natasha Lea Smith | Nurse Practitioner | 6469 N Us 127, Middleburg, KY 42541-6811 | 2019-12-28 |
| 1033761523 | Alexandra Damirkasan Rivera | Nurse Practitioner | 1885 Dartmouth Dr, Middleburg, FL 32068-6568 | 2019-07-15 |
| 1639636194 | Stephania Dejno | Nurse Practitioner | 1733 Bluejay Dr, Middleburg, FL 32068-3609 | 2019-02-20 |
| 1013404201 | Sonja Attebery | Nurse Practitioner | 1354 Camp Ridge Ln, Middleburg, FL 32068-8718 | 2018-04-13 |
| 1063912392 | Jenny Jean Gregory | Nurse Practitioner | 3571 County Road 218, Middleburg, FL 32068-7211 | 2018-02-13 |
| 1629427240 | Carol Ann Abbott | Nurse Practitioner | 2508 Shady Woods Dr, Middleburg, FL 32068-8244 | 2016-06-04 |
| 1588028443 | Kimberly Layne Nall | Nurse Practitioner | 3099 Longleaf Ranch Cir, Middleburg, FL 32068-6360 | 2016-04-07 |
| Find all providers in MIDDLEBURG | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
Please comment or provide details below to improve the information on KASSANDRA GNANN.
| 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.