ELIZABETH E MCCORMACK (NPI# 1629120217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629120217 |
| Entity Type | Individual |
| Full Name | ELIZABETH E MCCORMACK |
| Credential | ARNP |
| Practice Address |
14 W Jordan St Suite C Pensacola FL 32501-1736 |
| Practice Telephone | 8504340077 |
| Practice Fax Number | 8504340220 |
| Mailing Telephone | 8504340077 |
| Mailing Fax Number | 8504340220 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3151122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3151122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | Y107Y | 01 |
| FL | 306069100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477060135 | Elizabeth Debra Mccormack | Specialist/Technologist | 818 10th Ave N, Fargo, ND 58102-3638 | 2018-01-03 |
| 1356883391 | Elizabeth Mccormack | Counselor | 126 Lithia Pinecrest Rd, Brandon, FL 33511-5347 | 2016-11-08 |
| 1780086785 | Elizabeth Mccormack | Physical Therapist | 700 Holbrook Ave, Lebanon, OH 45036-1648 | 2014-09-22 |
| 1154527182 | Elizabeth Parker Mccormack | Physician Assistant | 2716 Ashton Drive, Wilmington, NC 28412 | 2007-06-26 |
| Street Address |
14 W JORDAN ST SUITE C |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561221 | Rogelio D Samson | Family Medicine | 14 W Jordan St, Pensacola, FL 32501-1736 | 2005-07-07 |
| 1073174181 | Escambia Community Clinics, Inc | Pharmacy | 14 W Jordan St, Pensacola, FL 32501-1736 | 2019-06-28 |
| 1497251003 | Ladonna Dapremont | Nurse Practitioner | 14 W Jordan St, Ste. 1e, Pensacola, FL 32501 | 2018-04-03 |
| 1639692981 | Hannah Burt | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-07-19 |
| 1396283503 | Magan Cook | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-02-08 |
| 1316485170 | Jessica Wade | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2017-02-01 |
| 1508302605 | Jeremy Olmstead | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-01-12 |
| 1730639089 | Alianna Gilmartin | Physician Assistant | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-10-11 |
| 1164878997 | Jennifer Knight | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-05-11 |
| 1699134916 | Jennifer Prince | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| Find all providers in PENSACOLA | ||||
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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.