MR. JANTZEN WAYNE WHITEHEAD (NPI# 1831430826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831430826 |
| Entity Type | Individual |
| Full Name | MR. JANTZEN WAYNE WHITEHEAD |
| Credential | MS |
| Practice Address |
2860 Highway 71 N Suite A Marianna FL 32446 |
| Mailing Address |
5601 Highway 231 Campbellton FL 32426 |
| Practice Telephone | 8504820019 |
| Practice Fax Number | 8504820015 |
| Mailing Telephone | 8506939752 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH10814 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2860 HIGHWAY 71 N SUITE A |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| 1639302482 | Heather Lee Bozeman | Pharmacist | 4684 Hwy 90, Marianna, FL 32446 | 2009-08-27 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121887 | Tameka Lashunda Russ | Counselor | 2880 Green St, Marianna, FL 32446-3357 | 2018-07-26 |
| 1356888754 | Kristy M. Ford | Counselor | 5137 Menawa Trl, Marianna, FL 32446-0148 | 2017-01-23 |
| 1306382205 | Elizabeth Delaine Griffin | Counselor | 2540 Lakeshore Dr, Marianna, FL 32446-0102 | 2017-01-16 |
| 1780059865 | Four Seasons Counseling,llc | Counselor | 2933 Madison St, Marianna, FL 32446-3451 | 2015-12-01 |
| 1851793525 | Michelle Levonia Mcnealy | Counselor | 4154 Lafayette St Ste H, Marianna, FL 32446-8229 | 2014-09-24 |
| 1821406000 | Spires Behavioral Health Care Center, Pllc | Counselor | 4428 Lafayette Street, Marianna, FL 32447-5728 | 2014-07-31 |
| 1447694740 | Tonya Thompson Gardner | Counselor | 2883 Magnolia Blossom Ln, Marianna, FL 32446-6395 | 2013-04-17 |
| 1285972216 | Melanie L Alday | Counselor | 2860 Hwy 71 North, Suite A, Marianna, FL 32446-2860 | 2013-01-25 |
| 1750631271 | Rachel L Hodge | Counselor | 3360 Bevia Rd, Marianna, FL 32446-6920 | 2012-09-12 |
| 1356690846 | Stephanie James Tolin | Counselor | 2499 Pennsylvania Ave, Marianna, FL 32448 | 2012-08-30 |
| Find all providers in MARIANNA | ||||
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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.