MIMI ANN KINGERY (NPI# 1790065035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790065035 |
| Entity Type | Individual |
| Full Name | MIMI ANN KINGERY |
| Credential | PA |
| Practice Address |
5147 N 9th Ave Ste 311 Pensacola FL 32504-8770 |
| Mailing Address |
4828 N Davis Hwy Pensacola FL 32503-2341 |
| Practice Telephone | 8504772597 |
| Practice Fax Number | 8504787941 |
| Mailing Telephone | 8504778109 |
| Mailing Fax Number | 8504782412 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106214 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000132945 | 05 | |
| FL | MCR | FO262Z | 01 |
| FL | BCBS | Y08Z7 | 01 |
| Street Address |
5147 N 9TH AVE STE 311 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265412654 | Richard Robert Dobhan | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-01-20 |
| 1194350686 | Todd Edward Leroy | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2020-03-05 |
| 1386892289 | Cathy Lee Aaron | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2008-09-04 |
| 1558457499 | Rachel G Thompson | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1538255476 | Christopher Shane Smith | Physician Assistant | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1790871895 | Kendral Wayne Adkisson | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1255427175 | Roger M Orth | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-05 |
| 1073609483 | Daniel S. Finelli | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-04 |
| 1831284405 | Paul Douglas Brown | Nurse Practitioner | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-03 |
| 1841383304 | Fares S. Hakim | Internal Medicine | 5147 N 9th Ave Ste 311, Pensacola, FL 32504-8770 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716811 | Physician Associates of The Palm Beaches | Physician Assistant | 49 Skystone Ct, Pensacola, FL 32506-6842 | 2016-04-24 |
| 1548690936 | Pensacola House Calls,llc | Physician Assistant | 5040 Yesteroaks Cir, Pensacola, FL 32504-4316 | 2013-11-21 |
| 1508146796 | Whitney Cronenberg Hunter | Physician Assistant | 545 Brent Lane, Pensacola, FL 32503 | 2011-08-19 |
| 1326244146 | Jessica Aurelio Samson | Physician Assistant | 8141 Westbourne Dr, Pensacola, FL 32506-4959 | 2007-06-27 |
| 1437204948 | Jessie Enrique Gross | Physician Assistant | 220 Hovey Rd Fl 1047, Pensacola, FL 32508-1047 | 2007-01-24 |
| 1689760894 | Mamie Yuk-ming Wu | Physician Assistant | 4511 N Davis Hwy Ste C-1, Pensacola, FL 32503-2734 | 2006-10-05 |
| 1437138344 | Daniel Carl Brunner | Physician Assistant | 9400 University Pkwy Ste 401a, Pensacola, FL 32514-5485 | 2006-01-10 |
| 1558346213 | Angela B Bray | Physician Assistant | 8596 Orange Avenue, Pensacola, FL 32534 | 2005-12-14 |
| 1225635329 | Adam James Crowson | Physician Assistant | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2020-10-02 |
| 1992320881 | Access To Care, P.a. | Physician Assistant | 1010 N 12th Ave Ste 125, Pensacola, FL 32501-3315 | 2020-06-16 |
| 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.