MS. KATHLEEN L SPALLA (NPI# 1134628498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134628498 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN L SPALLA |
| Other Name | MRS. KATHLEEN AEY, HARPER, BERRY, WINEBURNER |
| Credential | PHYSICIAN ASSISTANCE |
| Practice Address |
5115 N Palafox St Pensacola FL 32505-2932 |
| Mailing Address |
514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4047 |
| Practice Telephone | 8503788773 |
| Practice Fax Number | 8503788773 |
| Mailing Telephone | 8503788773 |
| Mailing Fax Number | 8503788778 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111078 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1134628498 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 325484047 | 8503788773 | 8503788778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194627 | Kathleen Anne Spalla | Nurse Practitioner | 194 Elmwood Rd, Needham, MA 02492-4546 | 2020-01-28 |
| Street Address |
5115 N PALAFOX ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32505-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232214 | Narendra Kumar Gowda | Internal Medicine | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2006-05-16 |
| 1225635329 | Adam James Crowson | Physician Assistant | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2020-10-02 |
| 1649888496 | Nicolle L Hawley | Nurse Practitioner | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2020-07-17 |
| 1760044044 | Tammy Helton | Nurse Practitioner | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2019-07-08 |
| 1043740574 | Kena M Troupe | Nurse Practitioner | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2017-06-18 |
| 1558811232 | James Wymer | Physician Assistant | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2016-10-06 |
| 1104370782 | Brittany Carothers | Physician Assistant | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2016-08-11 |
| 1033562913 | Quality Urgent Care & Wellness Pl | Clinic/Center | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
| 1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
| 1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
| 1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| Find all providers in zip 32505 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on MS. KATHLEEN L SPALLA.
| 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.