CONNIE EDELEN (NPI# 1063620722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063620722 |
| Entity Type | Individual |
| Full Name | CONNIE EDELEN |
| Credential | MD |
| Practice Address |
4266 Sunbeam Rd Jacksonville FL 32257-2425 |
| Practice Telephone | 9044077700 |
| Practice Fax Number | 9044076001 |
| Mailing Telephone | 9044077700 |
| Mailing Fax Number | 9044076001 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116018187 | VA | Student, Health Care |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
ME134775 | FL | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
2010-00028 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4266 SUNBEAM RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126774 | Community Hospice of N.e. Florida | Hospice Care, Community Based | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2005-06-28 |
| 1851909808 | Allison Raquel Monique Sapp | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-07-15 |
| 1366066615 | Caitlin Elizabeth Mills | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-06-02 |
| 1407495062 | Kizzy Michelle Mccray-sheppard | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2019-12-31 |
| 1275016560 | Paula J Hoffman | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2018-09-12 |
| 1033620208 | Jennifer A Schroeder | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-10-16 |
| 1245770379 | Latonya Denise Green | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257 | 2017-03-08 |
| 1255877452 | Tiffany Lynne Odell | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-01-11 |
| 1336683705 | Adrienne Boyd Hampton | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-12-05 |
| 1932651528 | Tameka Nicole Hammond | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1700846565 | Neel Gobindram Karnani | Family Medicine | 7406 Fullerton St Ste 105, Jacksonville, FL 32256-3588 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
| 1891902706 | Warren Joseph Brown | Family Medicine | 14607 Brewster Dr, Largo, FL 33774-4822 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on CONNIE EDELEN.
| 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.