KAYLA D. BODREE (NPI# 1902254717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902254717 |
| Entity Type | Individual |
| Full Name | KAYLA D. BODREE |
| Credential | ARNP |
| Practice Address |
3421 N 12th Ave Pensacola FL 32503-4008 |
| Mailing Address |
2328 Badger Cir Cantonment FL 32533-7883 |
| Practice Telephone | 8504327310 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP9329549 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018385200 | 05 |
| Street Address |
3421 N 12TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710219084 | Donna M Corder Md Pa | Ophthalmology | 3421 N 12th Ave, Pensacola, FL 32503-4008 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025898 | Lauren Burnham | Nurse Practitioner | 5153 N 9th Ave Ste 205, Pensacola, FL 32504-5719 | 2019-04-22 |
| 1710369996 | Rebecca Thomas | Nurse Practitioner | 1107 Camaree Pl, Pensacola, FL 32534-9714 | 2015-06-23 |
| 1760675417 | Mary Bunker Watson | Nurse Practitioner | 6109 Electra Ln, Pensacola, FL 32507-8117 | 2007-08-24 |
| 1386208536 | Stephanie L. Pannell | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2019-04-23 |
| 1770054082 | Tiffany Briggs | Nurse Practitioner | 5855 Creek Station Dr, Pensacola, FL 32504-8626 | 2018-12-12 |
| 1518458454 | Melissa Anne Shaw | Nurse Practitioner | 5153 N 9th Ave Ste 207, Pensacola, FL 32504-5705 | 2018-05-26 |
| 1649798315 | Megan Suzanne Voss | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-09-01 |
| 1801138961 | Lydia Michelle Langston | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2013-03-26 |
| 1932466653 | Linda Jane Fricke | Nurse Practitioner | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503 | 2012-04-19 |
| 1447559471 | Whitney P White | Nurse Practitioner | 2200 N Palafox St, Pensacola, FL 32501-1723 | 2011-03-16 |
| 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.