SACRED HEART HOSPITAL OF PENSACOLA (NPI# 1790225068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790225068 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Other Organization Name | SHMG WALGREENS PACE |
| Practice Address |
3909 Highway 90 Pace FL 32571-1915 |
| Mailing Address |
Po Box 2699 Attn: Shmg Hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504166898 |
| Practice Fax Number | 8504166907 |
| Mailing Telephone | 8504166898 |
| Mailing Fax Number | 8504166907 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | RONDA MICHELLE BOND (TRANSFORMATION SPECIALIST) |
| Authorized Official Telephone | 8504754682 |
| Authorized Official Credential | CMA, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 77885 | 01 |
| Other Name | Type Code |
|---|---|
| SHMG Walgreens Pace | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1306363007 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2017-08-24 |
| 1205376480 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2017-03-07 |
| 1629518998 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2017-03-06 |
| 1881134153 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2017-03-06 |
| 1326099763 | Sacred Heart Hospital of Pensacola | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-8715 | 2006-05-12 |
| Street Address |
3909 HIGHWAY 90 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275596983 | Elizabeth Ann Hedaria | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2006-04-11 |
| 1316428550 | Tuan Quoc Khuu | Pharmacist | 3909 Highway 90, Pace, FL 32571-1915 | 2018-08-26 |
| 1578848081 | Tracy L Judge | Pharmacist | 3909 Highway 90, Pace, FL 32571-1915 | 2011-10-15 |
| 1497038897 | Heather A Green | Pharmacist | 3909 Highway 90, Pace, FL 32571-1915 | 2011-09-21 |
| 1356624092 | Joseph Cleveland | Pharmacist | 3909 Highway 90, Pace, FL 32571-1915 | 2011-09-20 |
| 1376558544 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3909 Highway 90, Pace, FL 32571-1915 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895715 | My-hanh Thi Inman | Nurse Practitioner | 3675 Berry Patch Ln, Pace, FL 32571-6326 | 2020-06-14 |
| 1003430836 | Julie Ann Stronski | Nurse Practitioner | 5850 Wood Duck Dr, Pace, FL 32571-9576 | 2020-06-08 |
| 1407482847 | Alaina Michelle Wright | Nurse Practitioner | 5474 Timber Creek Dr, Pace, FL 32571-9092 | 2020-03-17 |
| 1922468362 | Amy Cox | Nurse Practitioner | 4176 Abernathy Dr, Pace, FL 32571-7617 | 2016-02-27 |
| 1194997833 | Amanda Marie Davis | Nurse Practitioner | 4964 Highway 90 Ste B, Pace, FL 32571-1441 | 2008-04-01 |
| 1467416032 | Cecilia Hansford | Nurse Practitioner | 3810 Highway 90, Pace, FL 32571-1014 | 2006-04-12 |
| 1275596983 | Elizabeth Ann Hedaria | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2006-04-11 |
| 1396381158 | Kaitlyn Christian | Nurse Practitioner | 3754 Highway 90 Ste 200, Pace, FL 32571-1098 | 2019-11-26 |
| 1508383407 | Laura Belle Maupin | Nurse Practitioner | 4453 Highway 90, Pace, FL 32571-2066 | 2017-08-23 |
| 1487189023 | Tiffany Cook | Nurse Practitioner | 3888 Highway 90, Pace, FL 32571-1014 | 2017-04-20 |
| Find all providers in PACE | ||||
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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.