BONNI G. TITCOMB (NPI# 1366484842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484842 |
| Entity Type | Individual |
| Full Name | BONNI G. TITCOMB |
| Credential | A.R.N.P. |
| Practice Address |
1577 Roberts Dr Siote 323 Jacksonville Beach FL 32250-3264 |
| Mailing Address |
Po Box 16568 Jacksonville FL 32245-6568 |
| Practice Telephone | 9042419775 |
| Practice Fax Number | 9042493638 |
| Mailing Telephone | 9044722300 |
| Mailing Fax Number | 9044722330 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP 624442 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 308691700 | 05 |
| Street Address |
1577 ROBERTS DR SIOTE 323 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658910 | Steven J. Lancaster | Orthopaedic Surgery | 1577 Roberts Dr, Suite 225 & 226, Jacksonville Beach, FL 32250-3264 | 2005-06-13 |
| 1699149724 | Ashley Megan Peterson | Massage Therapist | 1577 Roberts Dr, Ste 320, Jacksonville Beach, FL 32250-3264 | 2015-12-01 |
| 1659747822 | Riverside Spine & Pain Physicians, LLC | Specialist | 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 | 2015-08-11 |
| 1831434984 | Andrew A Orpiano | Specialist/Technologist | 1577 Roberts Dr, Suite 320, Jacksonville Beach, FL 32250-3264 | 2012-11-30 |
| 1992051361 | Baptist Primary Care Inc | Internal Medicine | 1577 Roberts Dr, Suite 224, Jacksonville Beach, FL 32250-3264 | 2012-08-03 |
| 1295015592 | Jonathan B Rawlings | Physical Therapist | 1577 Roberts Dr, Suite 320, Jacksonville Beach, FL 32250-3264 | 2011-08-18 |
| 1326327578 | Margaret Ellen Corrigan | Nurse Practitioner | 1577 Roberts Dr, Suite 224, Jacksonville Beach, FL 32250-3264 | 2011-08-05 |
| 1902193931 | Lindsay D Stoddard | Occupational Therapist | 1577 Roberts Dr, Suite 320, Jacksonville Beach, FL 32250-3264 | 2011-06-28 |
| 1902954332 | Jacksonville Orthopaedic Institute Inc | Specialist/Technologist | 1577 Roberts Dr, Suite 320, Jacksonville Beach, FL 32250-3264 | 2007-01-08 |
| 1851496723 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1577 Roberts Dr, Suite 225, Jacksonville Beach, FL 32250-3264 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336193242 | Beverly S Newton | Nurse Practitioner | 1522 Penman Rd, Jacksonville Beach, FL 32250-3744 | 2006-05-22 |
| 1295176998 | Esteban Garces | Nurse Practitioner | 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250-2644 | 2013-07-10 |
| 1801831698 | Malinda M. Moussa | Nurse Practitioner | 1361 13th Ave S Ste 110&190, Jacksonville Beach, FL 32250-3233 | 2006-06-17 |
| 1841235728 | Barbara Peeples | Nurse Practitioner | 1375 Roberts Dr Ste 206, Jacksonville Beach, FL 32250-3209 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774807 | Kiz Tosi | Nurse Practitioner | 419 Peoria Blvd, Crestview, FL 32536-2248 | 2019-01-14 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1235648296 | Lindsay Danielle Leider | Nurse Practitioner | 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 | 2017-09-21 |
| 1720516974 | Polina Goldenberg | Nurse Practitioner | 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 | 2017-06-01 |
| 1780044750 | Cherie Gordon | Nurse Practitioner | 2818 W Virginia Avenue, Tampa, FL 33607 | 2016-03-03 |
| 1487032967 | Doris Washington Tucker | Nurse Practitioner | 15013 Sw 110th Ter, Miami, FL 33196-2599 | 2015-05-15 |
| 1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
| 1538587332 | Midwife360, LLC | Nurse Practitioner | 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 | 2014-03-31 |
| 1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
| 1407122088 | Gloria Scheiner | Nurse Practitioner | 339 Mcintosh Ave, Orange Park, FL 32073-4831 | 2012-03-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.