ANNELINE KINGSLEY, MD P.A. (NPI# 1629402441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629402441 |
| Entity Type | Organization |
| Organization Name | ANNELINE KINGSLEY, MD P.A. |
| Practice Address |
4217 Baymeadows Rd Suite 3 Jacksonville FL 32217-4676 |
| Practice Telephone | 9043327431 |
| Practice Fax Number | 9043327408 |
| Mailing Telephone | 9043327431 |
| Mailing Fax Number | 9043327408 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | ANNELINE KINGSLEY (GERIATRIC PSYCHIATRIST) |
| Authorized Official Telephone | 9043327431 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME114295 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4217 BAYMEADOWS RD SUITE 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-4676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007139 | Leonard Joel Spillert | General Practice | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2006-03-21 |
| 1104227628 | Olin Mauldin M.d., LLC | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2014-09-16 |
| 1396088183 | Amole Care LLC | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-04-01 |
| 1063752491 | Sss Healthcare Services, L.L.C. | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-02-21 |
| 1407133663 | Katscott LLC | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2011-11-15 |
| 1427341478 | J M Tener, Np, Pa | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2011-05-24 |
| 1952693103 | Katrina B Sell | Nurse Practitioner | 4217 Baymeadows Rd, Suite 2, Jacksonville, FL 32217-4676 | 2011-05-06 |
| 1306136908 | Kristin Kay Jones Inc | Nurse Practitioner | 4217 Baymeadows Rd, Suite, Jacksonville, FL 32217-4676 | 2011-04-15 |
| 1750553160 | Gomezcare Inc | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite #3, Jacksonville, FL 32217-4676 | 2008-03-25 |
| 1811929532 | Jose Maria Gomez | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674849 | Slrc Jacksonville LLC | Psychiatry & Neurology | 14286 Beach Blvd Ste 118, Jacksonville, FL 32250-1561 | 2019-11-19 |
| 1457497828 | Nandita Joshi Jones | Psychiatry & Neurology | 5200 Belfort Rd Ste 420, Jacksonville, FL 32256-6040 | 2007-01-30 |
| 1750553160 | Gomezcare Inc | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite #3, Jacksonville, FL 32217-4676 | 2008-03-25 |
| 1396791794 | Marchant Woodhouse Van Gerpen | Psychiatry & Neurology | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
| 1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
| 1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
| 1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
| 1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
| 1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
| 1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
| 1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
| 1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
| 1417287855 | Emerald Coast Wellness Center, LLC | Psychiatry & Neurology | 138 Baywind Dr, Niceville, FL 32578-4800 | 2010-01-07 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.