KRISTINE ANN RYNN (NPI# 1831142330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831142330 |
| Entity Type | Individual |
| Full Name | KRISTINE ANN RYNN |
| Credential | PA |
| Practice Address |
16 Saint Johns Medical Pk Dr St Augustine FL 32086-5299 |
| Practice Telephone | 9047945411 |
| Mailing Telephone | 9047945411 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PA9101505 | FL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101505 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE - FLAGL | P00331050 | 01 |
| Street Address |
16 SAINT JOHNS MEDICAL PK DR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1871686352 | Phillip Alex Wimpelberg | Physician Assistant | 2720 Us Highway 1 S, Ste B, St Augustine, FL 32086-6301 | 2006-10-02 |
| 1457323834 | Eugene Kinnaly | Physician Assistant | 100 Arricola Ave, St Augustine, FL 32080-4515 | 2006-02-01 |
| 1124540588 | Jessica Marie Johnson | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-07 |
| 1639542673 | Jonathan Baron | Physician Assistant | 240 Southpark Cir E, St Augustine, FL 32086-5137 | 2015-11-12 |
| 1316268311 | David Robert Skaggs | Physician Assistant | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2010-06-14 |
| 1558540500 | Earnest E Kepler | Physician Assistant | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2007-10-26 |
| 1679690366 | Michael R Medved | Physician Assistant | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2007-03-26 |
| 1700921020 | Brooke Michelle Perussina | Physician Assistant | 103 Anastasia Blvd, St Augustine, FL 32080 | 2007-02-21 |
| 1306981378 | Randolph W Heath | Physician Assistant | 120 Health Park Blvd Ste 1, St Augustine, FL 32086-5798 | 2007-02-20 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on KRISTINE ANN RYNN.
| 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.