KERRY A CRANDALL,ARNP (NPI# 1962812099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962812099 |
| Entity Type | Organization |
| Organization Name | KERRY A CRANDALL,ARNP |
| Practice Address |
290 Clyde Morris Blvd Ormond Beach FL 32174-8130 |
| Practice Telephone | 3866775600 |
| Mailing Telephone | 3866775600 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | MS. KERRY ANNE CRANDALL (ARNP) |
| Authorized Official Telephone | 3868528505 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ARNP2043932 | FL | Nursing & Custodial Care Facilities |
| Street Address |
290 CLYDE MORRIS BLVD |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708580 | Davis Diagnostics LLC | Clinic/Center | 290 Clyde Morris Blvd, Ste C1, Ormond Beach, FL 32174-8204 | 2005-05-27 |
| 1740673425 | Pablo Garcia Jr Md | Clinic/Center | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2015-03-05 |
| 1275950081 | John Snowden | Physical Therapy Assistant | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1124445861 | Camila Perez-albert | Physical Therapist | 290 Clyde Morris Blvd, Suite B2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1407271380 | John Korfant | Physical Therapy Assistant | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2014-02-28 |
| 1134497555 | Thomas Joseph Fasone | Specialist | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2011-12-13 |
| 1386912707 | Massage Therapy Services | Specialist | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2011-12-13 |
| 1942435920 | Sandford H Kinne IIi D O P A | Family Medicine | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2009-05-20 |
| 1821236712 | A1 Imaging Centers LLC | Clinic/Center | 290 Clyde Morris Blvd, Suite C-1, Ormond Beach, FL 32174-8130 | 2009-01-30 |
| 1578701876 | Donna B Davenport | Nurse Practitioner | 290 Clyde Morris Blvd, Suite D-2, Ormond Beach, FL 32174-8130 | 2009-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518157841 | Lp Ormond Beach LLC | Skilled Nursing Facility | 103 North Clyde Morris Blvd, Ormond Beach, FL 32174-5982 | 2007-08-01 |
| 1265596340 | Avante At Ormond Beach, Inc. | Skilled Nursing Facility | 170 N Old Kings Rd, Ormond Beach, FL 32174-5118 | 2006-12-21 |
| 1255311957 | Hqm of Ormond Beach, LLC | Skilled Nursing Facility | 103 Clyde Morris Blvd, Volusia County, Ormond Beach, FL 32174-5982 | 2006-01-19 |
| 1760470785 | Coquina Center, LLC | Skilled Nursing Facility | 170 N Center St, Ormond Beach, FL 32174-5186 | 2005-10-13 |
| 1821086091 | Bridgeview Center, LLC | Skilled Nursing Facility | 350 S Ridgewood Ave, Ormond Beach, FL 32174-7028 | 2005-10-11 |
| 1790153401 | Memorial Health Systems Inc. | Skilled Nursing Facility | 264 S Atlantic Ave, Ormond Beach, FL 32176-8149 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on KERRY A CRANDALL,ARNP.
| 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.