DEBRA AXLEY (NPI# 1184797458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184797458 |
| Entity Type | Individual |
| Full Name | DEBRA AXLEY |
| Credential | ARNP |
| Practice Address |
4400 Bayou Blvd Ste 43 Pensacola FL 32503-1910 |
| Practice Telephone | 8504773015 |
| Practice Fax Number | 8504773026 |
| Mailing Telephone | 8504773015 |
| Mailing Fax Number | 8504773026 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1012172 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RRB PTAN | P00316280 | 01 | |
| FL | 306445000 | 05 |
| Street Address |
4400 BAYOU BLVD STE 43 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164595427 | John Axley | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 1912070293 | John Axley M D P A | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780111849 | Nicole Mosley | Nurse Practitioner | 101 S Jefferson St Apt C, Pensacola, FL 32502-5666 | 2017-05-18 |
| 1154620185 | Scott Aaron Durrance | Nurse Practitioner | 308 S Jefferson St, Pensacola, FL 32502-5969 | 2011-03-16 |
| 1730796616 | Emily M Powell | Nurse Practitioner | 308 S Jefferson St, Pensacola, FL 32502-5969 | 2020-09-25 |
| 1639718455 | Danielle Pugh | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-26 |
| 1457992968 | Ashley Nicole Wei | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-06 |
| 1447713581 | Afua Ntiwa | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-04-06 |
| 1669939724 | Brandy Mihaly | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2019-02-25 |
| 1285198598 | Crystal Nichole Jones-lindsey | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-01-31 |
| 1477056943 | Marcia M Binion | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501 | 2018-03-12 |
| 1598266850 | Sunshine Behavioral Medicine Inc | Nurse Practitioner | 101 S Jefferson St Apt C, Pensacola, FL 32502-5666 | 2018-02-22 |
| 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.