MR. JOHN BERTRAM GARRETT IV (NPI# 1023617420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023617420 |
Entity Type | Individual |
Full Name | MR. JOHN BERTRAM GARRETT IV |
Credential | MSN, APRN, FNP-C |
Practice Address |
5079 Garrett Rd Malone FL 32445-3409 |
Practice Telephone | 5055573761 |
Mailing Telephone | 8505573761 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11008985 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275039166 | John Hudson Garrett Jr. | Emergency Medical Technician, Basic | 2414 Gatebury Cir, Atlanta, GA 30341-2633 | 2018-04-01 |
1750729398 | John Alan Garrett | Dentist | 1646 E 6th St, Tulsa, OK 74120-4001 | 2013-06-05 |
1649547894 | John Howard Garrett II | Pharmacist | 8542 Brechin Ln, Chesterfield, VA 23838-5173 | 2011-11-16 |
1649562851 | John E Garrett | Pharmacist | 5810 Prosperity Church Rd, Charlotte, NC 28269-1138 | 2011-05-05 |
1376799023 | John Stevens Garrett | Occupational Therapist | 701 Puffin St Sw, Albuquerque, NM 87121-8909 | 2008-08-13 |
1740401181 | John Paul Garrett | Dentist | 917 Lynwood Ave, Bastrop, LA 71220-4742 | 2007-05-02 |
1972691871 | John Nathan Garrett | Physician Assistant | 2173 Mariner Blvd, Spring Hill, FL 34609-3860 | 2006-10-10 |
1770594079 | John G Garrett | Pain Medicine | 1040 N James M Campbell Blvd Ste 108, Columbia, TN 38401-2758 | 2006-08-11 |
1104829449 | John Michael Garrett | Specialist | 1301 Carpenter Avenue, Iron Mountain, MI 49801-4728 | 2005-05-31 |
1760981286 | John C Garrett | Counselor | 3939 Gentilly Blvd, New Orleans, LA 70126-4858 | 2018-02-10 |
Street Address |
5079 GARRETT RD |
City | MALONE |
State | FL |
Zip Code | 32445-3409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538295464 | Mortar and Pestle Investments | Pharmacy | 5404 10th St, Malone, FL 32445-3128 | 2007-02-26 |
1922584150 | Malone Pharmacy LLC | Pharmacy | 5404 10th St, Malone, FL 32445-3128 | 2018-07-11 |
1336322767 | Jackson Correctional Institution | Clinic/Center | 5563 10th St, Malone, FL 32445-3129 | 2007-12-07 |
1477697944 | Marcia S Thompson | Registered Nurse | 5170 12th Ave, Malone, FL 32445-3426 | 2007-02-17 |
1063753572 | Early Intervention Specialists of Northwest Florida, LLC | Early Intervention Provider Agency | 5170 12th Ave, Malone, FL 32445-3426 | 2013-03-07 |
1770837387 | Kristen Wright Arnette | Speech-Language Pathologist | 5374 10th St, Malone, FL 32445-3429 | 2012-11-04 |
1023332400 | Nathan D. Shimer | Counselor | 5356 10th St, Malone, FL 32445-3429 | 2010-03-15 |
1710140397 | Amerilink Ventures, Inc | Pharmacy | 5336 10th St, Malone, FL 32445-3429 | 2008-07-03 |
1043864903 | John Wesley Goodman Jr. | Pharmacist | 5336 10th St, Malone, FL 32445-3429 | 2019-07-30 |
1679138432 | Pancare of Florida, Inc | Pharmacy | 5336 10th St, Malone, FL 32445-3429 | 2019-05-07 |
Find all providers in zip 32445 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
1033729546 | Anderson Healthcare Masters LLC | Nurse Practitioner | 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 | 2020-08-10 |
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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.