JAMIE MASHBURN THORN (NPI# 1225226889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225226889 |
| Entity Type | Individual |
| Full Name | JAMIE MASHBURN THORN |
| Credential | ARNP |
| Practice Address |
3754 Highway 90 Ste 220 Pace FL 32571-1096 |
| Mailing Address |
Po Box 2699 Attn: Shmg/hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504165050 |
| Practice Fax Number | 8504165022 |
| Mailing Telephone | 8504165050 |
| Mailing Fax Number | 8504165022 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3277182 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3754 HIGHWAY 90 STE 220 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1649534710 | Pace Surgery Center | Anesthesiology | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2012-07-03 |
| 1497018345 | Benjamin David Osterrieder | Obstetrics & Gynecology | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2012-06-15 |
| 1710127006 | Vishal Gujral | Internal Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2009-02-25 |
| 1982850251 | Darlene Marie Hess | Physical Therapy Assistant | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-18 |
| 1528224961 | Mary Frances Randell | Occupational Therapist | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-05 |
| 1578662227 | Pace Surgery Center | Clinic/Center | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2006-09-21 |
| 1386650406 | Robert Gerald Kincaid IIi | Family Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2006-07-31 |
| 1174537690 | Troy Bell | Optometrist | 3754 Highway 90, Suite 390, Pace, FL 32571-1096 | 2006-07-28 |
| 1104871979 | Matthew G. Kinzelman | Family Medicine | 3754 Highway 90, 200, Pace, FL 32571-1020 | 2006-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310347 | Maritza Bentley | Nurse Practitioner | 3546 Fawnwood Dr, Pace, FL 32571-8686 | 2019-01-12 |
| 1699127365 | Rhonda R Cowan | Nurse Practitioner | 4332 Bayou Ridge Dr, Pace, FL 32571-8647 | 2016-07-06 |
| 1508964040 | Susan Lynn Caulfeild-james | Nurse Practitioner | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2006-09-20 |
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| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
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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.