MRS. JENNIFER DYE STANDRIDGE (NPI# 1295274546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295274546 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER DYE STANDRIDGE |
| Credential | ARNP |
| Practice Address |
611 Zeagler Dr Palatka FL 32177-3810 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 3863285711 |
| Practice Fax Number | 3863258178 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447699905 | Jennifer Nicole Standridge | Counselor | 512 E 24th St, Tishomingo, OK 73460-3214 | 2013-06-18 |
| Street Address |
611 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244058 | Jennifer Lee Hart | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2005-09-09 |
| 1487120812 | Michele Cole | Registered Nurse | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-10-24 |
| 1619485760 | Brandon Dewayne Morgan | Student in an Organized Health Care Education/Training Program | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-01-10 |
| 1174038970 | Andrew Brian Kirkland | Physician Assistant | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-12-04 |
| 1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
| 1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
| 1609228196 | Vincent Demond Wright | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-07-07 |
| 1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
| 1740676220 | Putnam Community Medical Center of North Florida, LLC | Medicare Defined Swing Bed Unit | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-04-10 |
| 1487045100 | Putnam Community Medical Center of North Florida, LLC | General Acute Care Hospital | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003833831 | The Health Center of Palatka, Inc. | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2006-07-17 |
| 1023010071 | Crestwood Nursing Center Inc | Skilled Nursing Facility | 501 S Palm Ave, Palatka, FL 32177-4147 | 2005-08-10 |
| 1881230803 | Crestwood Operations LLC | Skilled Nursing Facility | 501 S Palm Ave, Palatka, FL 32177-4147 | 2019-11-25 |
| 1306333117 | Solaris Healthcare Palatka LLC | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-04-17 |
| 1669625463 | Health Services of Palatka | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2008-10-24 |
| 1558417295 | Putnam Community Medical Center LLC | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
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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.