PAULINE BECTON GREGORY (NPI# 1275058737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275058737 |
| Entity Type | Individual |
| Full Name | PAULINE BECTON GREGORY |
| Credential | ED.S, M.S. |
| Practice Address |
1903 Island Walk Way Fernandina Beach FL 32034-4797 |
| Mailing Address |
83296 Purple Martin Dr Yulee FL 32097-2627 |
| Practice Telephone | 9042770027 |
| Mailing Telephone | 9047089427 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1903 ISLAND WALK WAY |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811048952 | Lisa Ann Holloway | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2007-01-16 |
| 1528546553 | Heather Nicole Kimsey | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1073091005 | Patrick M. Herwig | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1700364742 | Jenna Lynn Lamont | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-08-01 |
| 1730688995 | Tina Adrianna Scannell | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2018-02-02 |
| 1023531829 | Tracy Alloway | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034 | 2017-07-24 |
| 1073048732 | Jessica Nease White | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-05-01 |
| 1952836934 | Janet Grammel | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-04-27 |
| 1922551696 | Gabriella Leon | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2016-07-29 |
| 1790145746 | Meredith Lynn Howard | Social Worker | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073048732 | Jessica Nease White | Psychologist | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980884 | Gihanna Barbara Jimenez | Psychologist | 7301 Sw 57th Ct Ste 565, South Miami, FL 33143-5334 | 2020-10-20 |
| 1326645177 | Sheila Simchon | Psychologist | 3601 N Park Rd, Hollywood, FL 33021-2529 | 2020-10-05 |
| 1821602145 | Tamara Shirley | Psychologist | 20755 Sw 86th Pl, Cutler Bay, FL 33189-3841 | 2020-09-03 |
| 1194339994 | Jenny Gamble | Psychologist | 33 Knight Boxx Rd # 2, Orange Park, FL 32065-7305 | 2020-08-31 |
| 1154934826 | Joseph Ronald Sura | Psychologist | 154 Cunningham Ln, Big Pine Key, FL 33043-4837 | 2020-08-24 |
| 1871105858 | Bette Dale Garner | Psychologist | 690 Osceola Ave Apt 404, Winter Park, FL 32789-4408 | 2020-08-20 |
| 1528679156 | Brittany Ubaldini-simon | Psychologist | 8505 Bella Way, Tampa, FL 33635-6005 | 2020-08-17 |
| 1710598263 | Ramon Delgado Jr. | Psychologist | 10376 Nw 3rd St, Plantation, FL 33324-1702 | 2020-08-10 |
| 1588274047 | Kristen Rave | Psychologist | 3223 E Community Dr, Jupiter, FL 33458-8217 | 2020-08-08 |
| 1194334623 | Andrea Latimer | Psychologist | 30953 Water Lily Dr, Brooksville, FL 34602-7740 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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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.