JUDY CAVAZOS (NPI# 1619340114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619340114 |
| Entity Type | Individual |
| Full Name | JUDY CAVAZOS |
| Credential | PA-C |
| Practice Address |
514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025 |
| Mailing Address |
1213 Maple Dr Eglin Afb FL 32542-1446 |
| Practice Telephone | 8502268550 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108832 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
514 MARY ESTHER CUT OFF NW |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558529164 | Robin Jake Worring Yelverton | Nurse Practitioner | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2008-05-30 |
| 1144797366 | Sara Rothe | Physician Assistant | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2018-10-25 |
| 1629422282 | Laura Smith | Nurse Practitioner | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2016-04-20 |
| 1982073011 | Brittany Brock | Physician Assistant | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2015-09-18 |
| 1477944122 | Robert Brian Justice | Nurse Practitioner | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2015-02-16 |
| 1386042703 | Quality Primary Care Pllc | Clinic/Center | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2014-12-17 |
| 1578977815 | Lindsay English Speer | Physician Assistant | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2014-06-15 |
| 1861824013 | Quality Urgent Care & Wellness Pl | Clinic/Center | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2013-07-30 |
| 1881943215 | Jasmine Pang | Family Medicine | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4025 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1427525195 | Katelyn Robson | Physician Assistant | 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 | 2018-10-31 |
| 1003112715 | Danielle Horton | Physician Assistant | 914 Mar Walt Dr Ste A, Fort Walton Beach, FL 32547-6706 | 2011-01-28 |
| 1003902446 | Jill Virginia Ash | Physician Assistant | 339 Racetrack Rd, Suite 2, Fort Walton Beach, FL 32547 | 2006-10-05 |
| 1538271226 | Katia V. Murphy-blount | Physician Assistant | 1032 Mar Walt Drive Suite 230, Northwest Florida Heart Institute, Fort Walton Beach, FL 32547 | 2006-08-31 |
| 1174517627 | Michael Andrew Johnson | Physician Assistant | 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2005-09-09 |
| 1154953743 | John Loftis | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 | 2020-02-11 |
| 1689219446 | Jordan Zemis Miles | Physician Assistant | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-11-15 |
| 1144797366 | Sara Rothe | Physician Assistant | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2018-10-25 |
| 1841765351 | Mallory Hope Maddox | Physician Assistant | 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 | 2018-10-11 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
Please comment or provide details below to improve the information on JUDY CAVAZOS.
| 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.