MRS. KRISTIN L EVERSOLE (NPI# 1679660567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679660567 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN L EVERSOLE |
| Other Name | MS. KRISTIN LYNN STOBAUGH |
| Credential | ARNP |
| Practice Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6017 |
| Practice Telephone | 9044463451 |
| Practice Fax Number | 9044463013 |
| Mailing Telephone | 9044463451 |
| Mailing Fax Number | 9044463013 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
ARNP2649042 | FL | Nursing Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ARNP 2649042 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2649042 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003127800 | 05 |
| Street Address |
5220 BELFORT RD STE 130 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407880 | Robert C Sanford | Registered Nurse | 5220 Belfort Rd, Suite 130, Jacksonville, FL 32256-6017 | 2005-09-19 |
| 1407206584 | Anju Bhatia | Nurse Practitioner | 5220 Belfort Rd, Jacksonville, FL 32256-6017 | 2016-06-20 |
| 1750698528 | National Healing Community Wound Care, LLC | Surgery | 5220 Belfort Rd, Suite 200, Jacksonville, FL 32256-6017 | 2010-09-01 |
| 1720247992 | William C Welch | Dermatology | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2008-06-03 |
| 1336241074 | Margaret Loughran | Registered Nurse | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2006-09-02 |
| 1346356029 | Stephanie J Elder | Dermatology | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2006-08-22 |
| 1134150501 | Christopher A Morrison | Dermatology | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2006-07-05 |
| 1205815859 | John J Zelis | Dermatology | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2006-01-12 |
| 1700871415 | Avrohm William Faber | Dermatology | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536149 | Reflections Wound Care and Wellness Centers | Registered Nurse | 7011 A C Skinner Pkwy Ste 145, Jacksonville, FL 32256-6954 | 2020-10-21 |
| 1619963469 | Elizabeth Ann Bevan Kasper | Registered Nurse | 5220 Belfort Road South, Ste 130, Jacksonville, FL 32256-6017 | 2005-09-26 |
| 1063407880 | Robert C Sanford | Registered Nurse | 5220 Belfort Rd, Suite 130, Jacksonville, FL 32256-6017 | 2005-09-19 |
| 1447767686 | St. Johns Interventional and Vascular Institute | Registered Nurse | 8767 Perimeter Park Blvd, Jacksonville, FL 32216-5479 | 2018-01-09 |
| 1336241074 | Margaret Loughran | Registered Nurse | 5220 Belfort Rd, Ste 130, Jacksonville, FL 32256-6017 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229532 | Wound and Medical Outreach Clinic LLC | Registered Nurse | 12250 Blue Pacific Dr, Riverview, FL 33579-1803 | 2020-03-03 |
| 1083253231 | Diandra Roman Mercado | Registered Nurse | 206 Cinnamon Bark Pl, Valrico, FL 33594-3600 | 2020-01-04 |
| 1619518198 | Chinelo Onwuzor | Registered Nurse | 8900 N Armenia Ave Ste 206, Tampa, FL 33604-1072 | 2019-10-04 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1205385291 | Ruth Altidor-floreus | Registered Nurse | 6805 Merion Pl, North Lauderdale, FL 33068-3705 | 2016-10-02 |
| 1548639347 | Simha Group, Inc. | Registered Nurse | 2918 Willow Bay Ter, Casselberry, FL 32707-6733 | 2015-09-22 |
| 1437497369 | Annet Tivin | Registered Nurse | 3425 Pinewalk Dr N, Apt 105, Margate, FL 33063-7814 | 2013-01-28 |
| 1649523804 | J Suzanne Mckibben | Registered Nurse | 6732 67th Way N, Pinellas Park, FL 33781-5049 | 2012-10-24 |
| 1710255617 | Absolute Wound Care | Registered Nurse | 7857 Umberto Ct, Naples, FL 34114-2686 | 2011-12-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on MRS. KRISTIN L EVERSOLE.
| 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.