HEATHER LYNNE DISTELRATH (NPI# 1427545664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427545664 |
| Entity Type | Individual |
| Full Name | HEATHER LYNNE DISTELRATH |
| Credential | ARNP-C |
| Practice Address |
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152 |
| Practice Telephone | 8504444700 |
| Practice Fax Number | 8504348144 |
| Mailing Telephone | 8504444700 |
| Mailing Fax Number | 8504447497 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9333996 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9333996 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1619 CREIGHTON RD STE 1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273327 | Edward L Friedland | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-05-24 |
| 1790261550 | David Kenneth Mason | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-07-16 |
| 1063906014 | Rebecca Allen Thompson | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-06-21 |
| 1962904003 | Dane Olivier Monnin | Physician Assistant | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-03-05 |
| 1659817153 | Allison Dew Edwards | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2017-01-09 |
| 1962851501 | Dawn Renee Frederic | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504 | 2016-06-05 |
| 1710394549 | Lynn Johnson | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2014-07-14 |
| 1710324553 | Eve Albrecht Cox | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2013-06-03 |
| 1508174236 | Amy Dugger | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2010-09-15 |
| 1942473053 | Misty Lynn Willis | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2008-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1275143760 | Katherine Brooke Barnes | Nurse Practitioner | 816 Tanglewood Dr, Pensacola, FL 32503-3224 | 2020-08-09 |
| 1306462700 | Jessica Hollingsworth | Nurse Practitioner | 4616 Marseille Dr, Pensacola, FL 32505-2624 | 2020-06-22 |
| 1427677756 | Buffi G Bailey | Nurse Practitioner | 5980 Osprey Pl, Pensacola, FL 32504-7938 | 2020-04-16 |
| 1295215911 | Selma Mehmedovic | Nurse Practitioner | 54 Assana Ct, Pensacola, FL 32506-9305 | 2018-08-21 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1750731774 | Gulf Coast Health Care LLC | Nurse Practitioner | 40 Palafox Pl Ste 400, Pensacola, FL 32502-5699 | 2016-06-21 |
| 1538563028 | Dana Bebber | Nurse Practitioner | 1230 Creighton Rd, Pensacola, FL 32504-7161 | 2014-10-13 |
| 1952702086 | Peggy Davis Neese | Nurse Practitioner | 7641 Old Hickory Dr, Pensacola, FL 32507-1682 | 2014-09-08 |
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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.