RACHNA A KRISH


Address: 13241 Bartram Park Blvd, Suite # 209, Jacksonville, FL 32258-5212
Phone: 9042424220

RACHNA A KRISH (NPI# 1043456148) 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) 1043456148
Entity Type Individual
Full Name RACHNA A KRISH
Credential MD
Practice Address 13241 Bartram Park Blvd
Suite # 209
Jacksonville
FL 32258-5212
Practice Telephone 9042424220
Practice Fax Number 9045511502
Mailing Telephone 9042424220
Mailing Fax Number 9045511502
Enumeration Date 2008-12-20
Last Update Date 2014-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
ME1152119 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 010557300 05
NY 03344456 05

Office Location

Street Address 13241 BARTRAM PARK BLVD
SUITE # 209
City JACKSONVILLE
State FL
Zip Code 32258-5212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306833587 Mark Andrew Matey Podiatrist 13241 Bartram Park Blvd, Suite 1809, Jacksonville, FL 32258-5227 2005-10-03
1942808977 Etleva Iliazi Nurse Practitioner 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 2020-10-12
1952830093 Lauren Kessenich Nurse Practitioner 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 2017-06-11
1497295505 Blayne O Yerby Physician Assistant 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2017-03-08
1366981904 Jennifer Mooney Nurse Practitioner 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2017-02-15
1902344427 Raquel S Watkins Md Pllc Allergy & Immunology 13241 Bartram Park Blvd, Suite 2601, Jacksonville, FL 32258-5212 2017-02-03
1457805756 Pediatric Innovation Center, LLC Pediatrics 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2016-08-04
1386097442 Khoi M Le Dentist 13241 Bartram Park Blvd, Ste. 1705, Jacksonville, FL 32258-5212 2016-07-13
1629453246 Julian Bungubung Nurse Practitioner 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5212 2015-07-24
1023496189 Railing Chiropractic & Acupuncture Chiropractor 13241 Bartram Park Blvd, 509, Jacksonville, FL 32258-5212 2015-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1841794682 W.b. Stewart Tigers Athletics Boosters Pediatrics 1658 Kings Rd, Jacksonville, FL 32209-6167 2018-03-19
1487755567 Charles Richardson Martin Pediatrics 2 Dewitt St, Jacksonville, NC 28540-5649 2006-09-25
1336252444 Charles B. Mcintosh Pediatrics 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2006-08-16
1922091156 Anne T Egan Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2005-08-23
1326046350 Iris Eisenberg Pediatrics 11521 N Main St, Jacksonville, FL 32218-4002 2005-07-13
1568856698 Afton Turner Pediatrics 4788 Hodges Blvd Ste B108, Jacksonville, FL 32224-7222 2015-03-26
1316385164 Rainbow Pediatric Center Pediatrics 4788 Hodges Blvd, Suite B-108, Jacksonville, FL 32224-7222 2013-06-13
1043346745 Jacksonville Pediatrics Pediatrics 2606 Park St, Jacksonville, FL 32204-4520 2007-02-26
1609925387 Erica Tarbox Pediatrics 3945 San Jose Park Dr, Jacksonville, FL 32217-4612 2007-01-10
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Competitor

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City JACKSONVILLE
Zip Code 32258

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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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