DR. CHRISTIE ELAINE KENNEDY


Address: 368 Ne Franklin St, Lake City, FL 32055
Phone: 3862928001

DR. CHRISTIE ELAINE KENNEDY (NPI# 1912179227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912179227
Entity Type Individual
Full Name DR. CHRISTIE ELAINE KENNEDY
Other Name CHRISTIE ELAINE TISON
Credential DNP
Practice Address 368 Ne Franklin St
Lake City
FL 32055
Mailing Address 6098 Copper Dr
Macclenny
FL 32063-6002
Practice Telephone 3862928001
Practice Fax Number 3862928002
Mailing Telephone 9043970923
Enumeration Date 2008-03-26
Last Update Date 2018-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9171598 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 309119800 05

Office Location

Street Address 368 NE FRANKLIN ST
City LAKE CITY
State FL
Zip Code 32055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457396434 Paul Richard Schriever Emergency Medicine 368 Ne Franklin St, Lake City, FL 32055-3088 2006-06-17
1912410804 Lake Shore Hma, LLC Medicare Defined Swing Bed Unit 368 Ne Franklin St, Lake City, FL 32055-3088 2017-11-14
1295270007 Columbia Emergency Group LLC Physician Assistant 368 Ne Franklin St, Lake City, FL 32055-3088 2017-01-03
1023428539 Bobbie Lee Rodgers Pharmacist 368 Ne Franklin St, Lake City, FL 32055-3088 2014-05-06
1821417502 Stephen Helvey Pharmacist 368 Ne Franklin St, Lake City, FL 32055-3088 2014-04-10
1770902512 Gregory A Dyle Pharmacist 368 Ne Franklin St, Lake City, FL 32055-3088 2014-04-09
1962758342 Shands Lake Shore Regional Medical Center General Acute Care Hospital 368 Ne Franklin St, Lake City, FL 32055-3088 2012-08-03
1346500949 Foremost Anesthesia Staffing LLC Anesthesiology 368 Ne Franklin St, Lake City, FL 32055-3088 2012-05-17
1821317579 Sergio Bustos Munoz Pediatrics 368 Ne Franklin St, Lake City, FL 32055-3088 2010-05-20
1447572037 Crystal Anne Ferwerda Pharmacist 368 Ne Franklin St, Lake City, FL 32055-3088 2010-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114439510 Melissa Fay Peters Nurse Practitioner 5085 West Us Highway 90, Lake City, FL 32055 2017-10-26
1851801765 Stephanie Jo Nogle Occupational Therapist Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 2017-10-05
1831617273 Erica Mayo Pharmacist 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 2017-09-06
1144759333 Jerry Hamilton Cheesman Dentist 217 Ne Franklin Sreet, Lake City, FL 32055 2017-06-09
1487183745 Joshua Allore Dentist 2970 W Us Highway 90., Lake City, FL 32055 2017-06-08
1497298418 Careing Hands Preferred Provider Organization 1471nw Queen Rd, Lakecity, FL 32055 2016-11-22
1881148278 Corniqueca Stewart-simmons Nurse Practitioner 340 Nw Commerce Drive, Lake City, FL 32055 2016-08-15
1164809141 Latasha Harten-jones Licensed Practical Nurse 443 Ne Sims Dr, Lake City, FL 32055 2015-04-29
1154716447 Lindsey Morton Counselor 219 Se Baya Avenue, Lake City, FL 32055 2015-04-02
1124439351 Tynette Jordan Counselor 708 N.w Wilson St., Lake City, FL 32055 2014-05-09
Find all providers in zip 32055

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376151530 Anne M Egan Nurse Practitioner 1608 N Oak St, Lake City, MN 55041-9031 2020-07-14
1104462225 Markie Hunter Nurse Practitioner 236 Sw Birch Gln, Lake City, FL 32024-0795 2019-11-24
1255983854 Carlon Darneil Jenkins Nurse Practitioner 126 Williamsburg Ave, Lake City, SC 29560-2734 2019-07-13
1811477078 Jordan Budwick Nurse Practitioner 2970 W Us Highway 90 Ste 120, Lake City, FL 32055-4703 2018-08-17
1508343526 Ashton Cagle Godwin Nurse Practitioner 1236 Mccutcheon Rd, Lake City, SC 29560-5619 2018-07-23
1811411754 David Charles Terrell Jr. Nurse Practitioner 410 Sw Silver Palm Dr, Lake City, FL 32024-6757 2017-08-02
1164811576 Sharma Atkinson-staten Nurse Practitioner 619 Sw Baya Dr Ste 102, Lake City, FL 32025-4204 2015-01-22
1750587002 Jennifer Haith Scott Nurse Practitioner 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 2007-06-25
1902008857 Laura Ann Parks Nurse Practitioner 4241 Nw American Ln, Lake City, FL 32055-4881 2007-06-04
1760693022 Stephanie Kate Finnell Nurse Practitioner 351 Nw Franklin St, Suite 2, Lake City, FL 32055 2007-05-25
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 32055

Improve Information

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Dataset Information

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.

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