MICHELLE SASALA (NPI# 1518488949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518488949 |
| Entity Type | Individual |
| Full Name | MICHELLE SASALA |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
4550 E Highway 20 Niceville FL 32578 |
| Practice Telephone | 8505306064 |
| Mailing Telephone | 8505306064 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9472083 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4562 E Highway 20, Niceville, FL 325788831 | 8663892727 |
| Street Address |
4550 E HIGHWAY 20 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| 1326326869 | Alternative Living, Inc. | Assisted Living Facility | 1053 John Sims Parkway, Niceville, FL 32578 | 2011-08-02 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442763 | Janine Phillips | Nurse Practitioner | 900 Trout Creek Cv, Niceville, FL 32578-1647 | 2018-10-03 |
| 1013354547 | Misti D Schneidewind | Nurse Practitioner | 105 Oakwood Cir, Niceville, FL 32578-4242 | 2013-05-23 |
| 1922329911 | Sandra Scott Craig | Nurse Practitioner | 4401 Windlake Dr, Niceville, FL 32578-4812 | 2010-06-14 |
| 1396829990 | Aliason Heather Martin-overton | Nurse Practitioner | 1001 College Blvd W Bldg 1 Ste D, Niceville, FL 32578-1049 | 2006-10-24 |
| 1497730238 | Melodie A Wolf | Nurse Practitioner | 4562 E Highway 20, Niceville, FL 32578-8831 | 2005-12-14 |
| 1922629591 | Jeremy Harrison Morris | Nurse Practitioner | 1001 College Blvd W Ste D, Niceville, FL 32578-1049 | 2020-05-05 |
| 1326693292 | Kim Lydick | Nurse Practitioner | 2600 Partin Dr N Ste 120, Niceville, FL 32578-1543 | 2019-08-07 |
| 1740833110 | Amy Nicole Schram | Nurse Practitioner | 4562 E Highway 20, Niceville, FL 32578 | 2019-07-24 |
| 1477091015 | Mia Williams | Nurse Practitioner | 2600 Partin Dr N Ste 120, Niceville, FL 32578-1543 | 2017-02-02 |
| 1679933907 | Julie Morton | Nurse Practitioner | 1001 College Blvd W, Suite H, Niceville, FL 32578-1099 | 2016-02-29 |
| Find all providers in NICEVILLE | ||||
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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.