MRS. MARY KAE SANDIDGE


Address: 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903
Phone: 9042811915

MRS. MARY KAE SANDIDGE (NPI# 1124395272) 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) 1124395272
Entity Type Individual
Full Name MRS. MARY KAE SANDIDGE
Credential FNP-BC
Practice Address 4348 Southpoint Blvd Ste 100
Jacksonville
FL 32216-0903
Mailing Address 8000 Nw 80th Place
Raiford
FL 32083
Practice Telephone 9042811915
Practice Fax Number 9042811119
Mailing Telephone 9412326513
Enumeration Date 2011-11-17
Last Update Date 2019-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 1853212 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 004575500 05

Office Location

Street Address 4348 SOUTHPOINT BLVD STE 100
City JACKSONVILLE
State FL
Zip Code 32216-0903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356307649 Peter W Frechette Family Medicine 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2006-04-25
1205476793 Rmed LLC Pediatrics 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2020-01-13
1811537491 Rmed LLC Pediatrics 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2020-01-10
1891212973 Christopher B Howard Neurological Surgery 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2017-08-29
1922454586 Lashaniqua Hamilton Nurse Practitioner 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2016-05-12
1881004299 Austin Moody Family Medicine 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2014-05-07
1699072256 Peri M. Sert Family Medicine 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2011-02-17
1558488072 Robert Markham Lancaster Nurse Practitioner 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2007-03-22
1629146915 Carrie Gilliam Baker Internal Medicine 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2006-12-04
1295755833 Cherron Michelle Johnson Nurse Practitioner 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216-0903 2006-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293868 Maria Fe Guboc Rufano-sulit Nurse Practitioner 3682 Summerlin Ln, Jacksonville, FL 32224-1650 2020-10-21
1346849502 Caitlin Flott Nurse Practitioner 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 2020-10-20
1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
1013524248 Claudia Joseph Nurse Practitioner 3331 Net Ct, Jacksonville, FL 32277-2735 2020-10-01
1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
1295348464 Debi Cohen Nurse Practitioner 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 2020-08-27
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Competitor

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City JACKSONVILLE
Zip Code 32216

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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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