SACRED HEART HOSPITAL OF PENSACOLA (NPI# 1881134153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881134153 |
Entity Type | Organization |
Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
Other Organization Name | SHMG WALGREENS PINE FOREST |
Practice Address |
2237 W Nine Mile Rd Pensacola FL 32534-9416 |
Mailing Address |
Po Box 2699 Attn: Shmg Hpe Pensacola FL 32513-2699 |
Practice Telephone | 8504164740 |
Practice Fax Number | 8504164705 |
Mailing Telephone | 8504164740 |
Mailing Fax Number | 8504164705 |
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 Pine Forest | 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 |
1790225068 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2017-03-06 |
1326099763 | Sacred Heart Hospital of Pensacola | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-8715 | 2006-05-12 |
Street Address |
2237 W NINE MILE RD |
City | PENSACOLA |
State | FL |
Zip Code | 32534-9416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184755274 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2007-03-08 |
1023622933 | Amanda Michelle Boyer | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2020-09-08 |
1134730104 | Jack Randolph | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2020-08-13 |
1437788288 | Amanda Harman | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2020-04-03 |
1104204973 | Pamela Jane Mcgaw | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2015-05-13 |
1477823300 | Candace Raby | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2012-01-10 |
1629348628 | Mandy Barrett | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2012-01-06 |
1053680884 | Marla Gail Reese | Pharmacist | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2011-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
1003207630 | Lenora Diann Wesley | Custodial Care Facility | 7840 Herrington Drive, Pensacola, FL 32534 | 2015-02-18 |
1336553759 | Charlotte Creahan | Pharmacist | 8814 C Palafox Hwy, Ensley Pharmacy, Penscola, FL 32534 | 2014-06-13 |
1801166368 | Neetin Patel | Pharmacist | 20 West Nine Mile Rd, Pensacola, FL 32534 | 2011-12-30 |
1891760377 | Adrian Laertes Goram | Pharmacist | 2237 W 9 Mile Rd, Walgreens Store 10181, Pensacola, FL 32534 | 2006-02-20 |
1558346213 | Angela B Bray | Physician Assistant | 8596 Orange Avenue, Pensacola, FL 32534 | 2005-12-14 |
1689669285 | Lori Lynn Everett | Dentist | 307 Boatner Road Suite 114, Eglin Afb, FL 32534 | 2005-09-20 |
1043565781 | Nada Samir Ilia | Dentist | 8390 N Palafox St, Promed Dental Clinic, Pensacola, FL 32534 | 2012-07-18 |
1770591968 | Steven L Jackson, Inc | Pharmacist | 2256 W Nine Mile Rd, Pensacola, FL 32534 | 2006-08-03 |
1255351847 | Ashley W Plummer | Specialist/Technologist | 1316 Jasper Street, Pensacola, FL 32534-0423 | 2006-07-19 |
Find all providers in zip 32534 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
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.