KEMISHA LATOYA MATHIS (NPI# 1073147914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147914 |
| Entity Type | Individual |
| Full Name | KEMISHA LATOYA MATHIS |
| Practice Address |
2279 W 2nd St Jacksonville FL 32209-6906 |
| Practice Telephone | 8508516363 |
| Mailing Telephone | 8508516363 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 47-4268046 | 05 |
| Street Address |
2279 W 2ND ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
| 1821415969 | Nonye Nduka | Nursing Home Administrator | 7655 Collins Ridge Blvd, Jacksonville, FL 32244-6422 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241489 | Ganielle Marva Peterson | Nursing Home Administrator | 2773 Se Clareton Ter, Port St Lucie, FL 34952-6621 | 2020-09-30 |
| 1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
| 1629692736 | Michele M Gavin | Nursing Home Administrator | 3450 Kaiser Ave, Saint Cloud, FL 34772-7311 | 2020-06-04 |
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
| 1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
| 1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
| 1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
| 1326467374 | Beverly Campbell | Nursing Home Administrator | 2808 S 10th St, Fort Pierce, FL 34982-4306 | 2014-04-07 |
| 1255777199 | Vanessa Dugan | Nursing Home Administrator | 800 Lakewood Cir, Merritt Island, FL 32952-5886 | 2013-05-20 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.