DR. MATTHEW CHRISTOPHER LITTLE (NPI# 1396367389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396367389 |
Entity Type | Individual |
Full Name | DR. MATTHEW CHRISTOPHER LITTLE |
Credential | MD |
Practice Address |
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302 |
Practice Telephone | 8508838600 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518337450 | Matthew Arna Little | Registered Nurse | 940 E 400 S, Kaysville, UT 84037-2266 | 2015-10-05 |
1225530603 | Matthew Little | Physical Therapist | 10459 Mountain View Ave Ste G, Loma Linda, CA 92354-2033 | 2018-03-01 |
1952709610 | Matthew Little | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2014-12-11 |
Street Address |
307 BOATNER RD STE 114 |
City | EGLIN AFB |
State | FL |
Zip Code | 32542-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134111453 | Thomas James Cantilina | Family Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2005-08-23 |
1861009466 | Patricia Allison Kellogg | Dietitian, Registered | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-09-28 |
1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
1447885181 | Deserea Marie Shoemaker | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1282 | 2020-03-03 |
1457985764 | Anaya Baeza | Nurse Practitioner | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-02-25 |
1043853435 | Sandra K Hoffa | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-10-18 |
1861042624 | Amy W Snow | Pharmacist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-09-13 |
1760042501 | Alison Natalie Snyder | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-06-14 |
1689237232 | Clint Copeland | Physical Therapist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-04-19 |
1083277073 | Michael Ryan Mcneely | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
Find all providers in zip 32542 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295364735 | Ashley Nicole Kilby | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-06 |
1063075414 | Christopher Lillenberg | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd, Eglin Afb, FL 32542-1391 | 2019-04-20 |
1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
1992327779 | Janel Montfort-tunstall | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-14 |
1366064396 | Ishan Chopra | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
1538781513 | Danielle Marie Wilkin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-12 |
1871112979 | Miguel Guzman Jr. | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-09 |
1407484561 | Jenna Garvin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-01 |
1750917597 | Kyle Olsen | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-12 |
1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
Find all providers in EGLIN AFB |
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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.