JESSICA PETCH (NPI# 1225497282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225497282 |
| Entity Type | Individual |
| Full Name | JESSICA PETCH |
| Credential | ARNP |
| Practice Address |
1940 Harrison Ave Panama City FL 32405-4542 |
| Practice Telephone | 8507630017 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| 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 |
9310063 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1940 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051937 | Paul Kenneth Phillips | Psychiatry & Neurology | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2005-05-30 |
| 1932742491 | Emerald Coast Behavioral Hospital LLC | Psychiatric Hospital | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-10-28 |
| 1952965352 | Jennifer Humphrey | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-05-01 |
| 1902460512 | Kathleen Laura Logue | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-04-29 |
| 1851857015 | Kimberly Murphy | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405 | 2019-02-13 |
| 1548774847 | Diane Kuepper | Social Worker | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-11-22 |
| 1619481298 | Tommy R Mcdonald Jr. | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-11-19 |
| 1306385570 | Robert Eugene Mayor II | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-02-21 |
| 1245775980 | Pola Sanchez-baker | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-05 |
| 1568907301 | Lou Ellen Johnson | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1619502036 | Kayla Elizabeth Roberts | Nurse Practitioner | 459 Grace Ave, Panama City, FL 32401-2756 | 2020-03-05 |
| 1851857015 | Kimberly Murphy | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405 | 2019-02-13 |
| 1275035198 | Doris A Jones | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2018-03-07 |
| 1942700182 | Ryan C Myers | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2018-02-14 |
| 1881083947 | Georgina Bembry | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2015-01-13 |
| 1295047025 | Vickie W Stephens | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2010-07-09 |
| 1407002082 | Jerris Grover | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2008-08-14 |
| 1578696977 | Stephen Joel Chesser | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5412 | 2007-03-14 |
| 1720009632 | Pamela Lynn Faille | Nurse Practitioner | 525 E 15th St, Panama City, FL 32405-5400 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.