HEIDI MARIE REBHOLZ (NPI# 1487264636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487264636 |
| Entity Type | Individual |
| Full Name | HEIDI MARIE REBHOLZ |
| Practice Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Mailing Address |
2190 Buena Vista Blvd Vero Beach FL 32960-2963 |
| Practice Telephone | 9042022000 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
820151 | NV | Nursing Service Providers |
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN60600785 | WA | Nursing Service Providers |
| Street Address |
800 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913854 | Annette Davidson Bell | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2005-06-27 |
| 1508467523 | Heather Smith | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-11-05 |
| 1306446638 | Jessica Schilz | Dietitian, Registered | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-10-27 |
| 1033718747 | Kiara Michelle Simmons | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-22 |
| 1477151488 | Nicole Schumaker | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-12 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1578179453 | Emily Guan Duani | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-16 |
| 1326657982 | Everrenz Health, Inc | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-29 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| 1235747924 | Cecilia Ashley Thomas | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778527 | Olamide O Borisade | Registered Nurse | 4870 Deer Lake Dr E Ste 1114, Jacksonville, FL 32246-6301 | 2020-07-27 |
| 1689221533 | Bryan Earl Wright | Registered Nurse | 5331 Shirley Ave, Jacksonville, FL 32210-3149 | 2019-08-23 |
| 1033389457 | Cynthia Lee Probasco | Registered Nurse | 636 Maynard Blvd, Jacksonville, NC 28546-9106 | 2008-03-03 |
| 1811523665 | Jasmine Burch | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-03-12 |
| 1013553650 | Bradley James Wine | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-19 |
| 1003458787 | Ramona Greene | Registered Nurse | 2080 Child St, Jacksonville, FL 32214-5005 | 2019-10-14 |
| 1205392024 | Michele Pappargeris | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010395 | Rocio Taveras | Registered Nurse | 7110 Nw 45th St, Coral Springs, FL 33065-2120 | 2020-10-09 |
| 1245845189 | Haydee Melendez | Registered Nurse | 4740 Nw 102nd Ave Apt 107, Doral, FL 33178-2231 | 2020-09-08 |
| 1457969339 | Annelise Eugene | Registered Nurse | 1546 Nw 167th Ave, Pembroke Pines, FL 33028-1371 | 2020-07-16 |
| 1639797426 | Alexandra Rachel Castillo | Registered Nurse | 455 Sw 200th Ter, Pembroke Pines, FL 33029-1247 | 2020-07-08 |
| 1477199552 | Arlene Quevedo | Registered Nurse | 471 Arbor Lakes Dr, Davenport, FL 33896-8196 | 2019-11-22 |
| 1326683731 | Desirae Marie Ackerman | Registered Nurse | 3310 Bermuda Isle Cir Apt 222, Naples, FL 34109-2644 | 2019-11-08 |
| 1467094516 | Sonia Findlator | Registered Nurse | 432 Los Altos Way Apt 102, Altamonte Springs, FL 32714-3280 | 2019-10-10 |
| 1235771288 | Jose Gabriel Valdes | Registered Nurse | 8821 W Flagler St Apt 202, Miami, FL 33174-2423 | 2019-10-10 |
| 1598306029 | Melissa Pierre | Registered Nurse | 7711 Sw 8th St, North Lauderdale, FL 33068-2224 | 2019-10-06 |
| 1104478015 | Veridiana Pinheiro | Registered Nurse | 1709 Whitehall Dr Apt 201, Davie, FL 33324-6920 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.