MRS. SHAWN MULLINAX VAN DYNE (NPI# 1255827077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255827077 |
| Entity Type | Individual |
| Full Name | MRS. SHAWN MULLINAX VAN DYNE |
| Credential | NP |
| Practice Address |
8100 N Davis Hwy Pensacola FL 32514 |
| Mailing Address |
8100 N Davis Hwy Pensacola FL 32514-6093 |
| Practice Telephone | 8504772466 |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9176799 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1270 N Eglin Pkwy Ste A17, Shalimar, FL 325791244 | 8506093785 | 8506093393 |
| Street Address |
8100 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952408445 | Holiday Cvs LLC | Pharmacy | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2006-09-19 |
| 1083229462 | Erin Christine Hurst | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2020-09-11 |
| 1730793290 | Virdia Christina Bradford | Licensed Practical Nurse | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2020-09-02 |
| 1619580842 | Molly Katherine Bryant | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2020-08-27 |
| 1871112896 | Kacey Diane Kash | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2020-04-09 |
| 1306474473 | Tonisha Mechelle Kelley | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2020-04-01 |
| 1184260507 | Heidi Colleen Pfeiler | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2019-11-20 |
| 1568023844 | Chanel Grace Lockwood | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2019-06-26 |
| 1477018398 | Veronica Jett | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2019-02-05 |
| 1013495936 | Cori Cook | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| 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.