MRS. SUSAN W LIGHTFOOT (NPI# 1053306878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053306878 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN W LIGHTFOOT |
| Credential | MHC |
| Practice Address |
2191 E Johnson Ave Pensacola FL 32514-6029 |
| Practice Telephone | 8504943953 |
| Practice Fax Number | 8504943960 |
| Mailing Telephone | 8504943953 |
| Mailing Fax Number | 8504943960 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH01493 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2191 E JOHNSON AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720431 | Kenneth D Ragan | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1710305107 | Anna Catherine Reynolds | Nurse Practitioner | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2014-04-02 |
| 1891030813 | Patricia Michel-garrison | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2012-12-03 |
| 1659690881 | Georgia Lee Ketchum | Psychiatry & Neurology | 2191 E Johnson Ave, Inpatient Psychiatry, Pensacola, FL 32514-6029 | 2010-05-27 |
| 1649346586 | John C Hayes | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-11-24 |
| 1518064583 | Bascom Kyle Bradshaw | Preventive Medicine | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-09-20 |
| 1730282070 | Christopher M Davidson | Psychiatry & Neurology | 2191 E Johnson Ave, Inpatient Psychiatry, Pensacola, FL 32514-6029 | 2006-09-05 |
| 1588659395 | Raul Jimenez | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| 1801881040 | John C Fetzer | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1841285079 | Thomas E Myer | Psychologist | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796418 | Sherl Diane Craft | Counselor | 822 Lavon Dr, Pensacola, FL 32506-5689 | 2020-09-28 |
| 1730797234 | Danielle Kramer | Counselor | 10080 Rookery Rd, Pensacola, FL 32507-7205 | 2020-07-21 |
| 1154947612 | Michele Manassah | Counselor | 1600 Governors Dr Apt 1021, Pensacola, FL 32514-9439 | 2020-06-21 |
| 1386263465 | Dannielle Taylor | Counselor | 1602 Governors Dr Apt 2716, Pensacola, FL 32514-9441 | 2020-04-09 |
| 1083243026 | Margaret Eula Thompson Carr | Counselor | 7705 Le Jeune Dr, Pensacola, FL 32514-6530 | 2020-04-02 |
| 1720612062 | Kimberly Bowens | Counselor | 321 N De Villiers St Ste 209, Pensacola, FL 32501-3891 | 2020-02-25 |
| 1992343172 | The Center for Compassionate Care, LLC | Counselor | 6707 Plantation Rd Ste B3, Pensacola, FL 32504-6216 | 2019-12-18 |
| 1417507146 | Cynthia Marie Skoros | Counselor | 9511 Holsberry Rd Ste E, Pensacola, FL 32534-1347 | 2019-09-14 |
| 1831752039 | Inner Peace Pensacola LLC | Counselor | 600 University Office Blvd Ste 7, Pensacola, FL 32504-6251 | 2019-04-15 |
| 1508339235 | Kristie Williams | Counselor | 1610 Barrancas Ave, Pensacola, FL 32502-5212 | 2019-01-04 |
| 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.