THERESA M KEOHANE (NPI# 1740282771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740282771 |
| Entity Type | Individual |
| Full Name | THERESA M KEOHANE |
| Credential | ARNP |
| Practice Address |
5153 N 9th Ave Ste 300 Pensacola FL 32504-8785 |
| Mailing Address |
Po Box 280 Gulf Breeze FL 32562-0280 |
| Practice Telephone | 8504846060 |
| Practice Fax Number | 8504846069 |
| Mailing Telephone | 8504846060 |
| Mailing Fax Number | 8504846069 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN993822 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5153 N 9TH AVE STE 300 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590158 | Don K Nakayama | Surgery | 5153 N 9th Ave, Suite 307, Pensacola, FL 32504-8785 | 2005-07-01 |
| 1518582287 | Lisa Wright | Nurse Practitioner | 5153 N 9th Ave, Pediatric Office Building, Pensacola, FL 32504-8785 | 2020-06-09 |
| 1275160780 | Brianna Davis | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2020-03-25 |
| 1891320461 | Jolee Brooke Sanborn | Nurse Practitioner | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2020-03-04 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1184129371 | Heisirys Pittman | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-03-28 |
| 1558879510 | Elaine Alba Craft | Registered Nurse | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-01-11 |
| 1467967414 | Rena J Nord | Social Worker | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2017-12-12 |
| 1578080479 | Amanda G Wolford | Physician Assistant | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2017-08-23 |
| 1902346794 | Shannan Ward | Nurse Practitioner | 5153 N 9th Ave, Suite 302, Pensacola, FL 32504-8785 | 2017-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844562 | Melissa Martin Byrd | Nurse Practitioner | 2701 N Q St, Pensacola, FL 32505-5615 | 2006-03-08 |
| 1518582287 | Lisa Wright | Nurse Practitioner | 5153 N 9th Ave, Pediatric Office Building, Pensacola, FL 32504-8785 | 2020-06-09 |
| 1235764770 | Mallory Hinton | Nurse Practitioner | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2020-03-05 |
| 1891320461 | Jolee Brooke Sanborn | Nurse Practitioner | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2020-03-04 |
| 1104398098 | Amanda Ray | Nurse Practitioner | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2018-12-18 |
| 1265909543 | Malorie Kristen Mckinnon | Nurse Practitioner | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2168 | 2018-10-25 |
| 1629553144 | Erin Michelle Johnson | Nurse Practitioner | 5147 N 9th Ave Ste 318, Pensacola, FL 32504-8710 | 2018-10-01 |
| 1497241434 | Julia Kania | Nurse Practitioner | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2018-07-02 |
| 1245727676 | Paula Lindsey | Nurse Practitioner | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2018-04-20 |
| 1639692981 | Hannah Burt | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-07-19 |
| 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.