LUCAS BRADEN HEITMAN (NPI# 1114528312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114528312 |
| Entity Type | Individual |
| Full Name | LUCAS BRADEN HEITMAN |
| Credential | PA |
| Practice Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Practice Telephone | 8504748000 |
| Mailing Telephone | 8504748436 |
| Mailing Fax Number | 8504748285 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113784 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8333 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 1093328056 | Alyssa Haley | Audiologist | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-28 |
| 1568074995 | Andrew Bean | Pharmacist | 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 | 2020-08-18 |
| 1942810072 | Martha Davault | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-04 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1093352619 | Danielle Tozzo | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2019-12-02 |
| 1104475235 | Aryn Del Valle | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-09-11 |
| 1649731415 | Vanessa Enriquez | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-03-26 |
| 1881165652 | Jessica Christine Byrd | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2018-12-05 |
| 1013486711 | Melissa Kelly Brown | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2018-11-26 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593326 | Shelby Jane Carson | Physician Assistant | 8333 N Davis Hwy Fl 3, Pensacola, FL 32514-6050 | 2020-03-13 |
| 1477194934 | Alyssa Brooke Mayer | Physician Assistant | 4501 N Davis Hwy Ste A, Pensacola, FL 32503-2724 | 2019-10-04 |
| 1720638448 | Frances Ponsuwan Bell | Physician Assistant | 5151 N 9th Ave # 200, Pensacola, FL 32504-8721 | 2019-09-14 |
| 1881242022 | Kendall Hoover | Physician Assistant | 190 E Intendencia St # A-28, Pensacola, FL 32502-5806 | 2019-08-30 |
| 1477047181 | Taylor Elaine Morrison | Physician Assistant | 4901 Marketplace Road, Pensacola, FL 32504-8986 | 2018-06-15 |
| 1245771591 | Tina Rayfield | Physician Assistant | 12480 Seratine Dr, Pensacola, FL 32506-9601 | 2017-03-19 |
| 1891166344 | Kevin Lacz | Physician Assistant | 100 S Baylen St, Suite A, Pensacola, FL 32502-5825 | 2015-10-09 |
| 1831448653 | Hillary H. Doussan | Physician Assistant | 8333 N. Davis Hwy, Pensacola, FL 32514-6050 | 2012-09-07 |
| 1891004560 | Lauren Andrea Treven | Physician Assistant | 3205 E Olive Rd, Apt 80, Pensacola, FL 32514-7239 | 2010-09-29 |
| 1285948703 | Sarah Grace Purdy | Physician Assistant | 5503 Admiral Doyle Rd, Pensacola, FL 32506-5353 | 2010-07-27 |
| 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.