DR. KEENA COLLEEN RISOLA (NPI# 1831210392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831210392 |
| Entity Type | Individual |
| Full Name | DR. KEENA COLLEEN RISOLA |
| Credential | D.O. |
| Practice Address |
1717 N E St Ste 208 Pensacola FL 32501-6336 |
| Mailing Address |
3764 Manhattan Ct Gulf Breeze FL 32563-5441 |
| Practice Telephone | 8504381136 |
| Practice Fax Number | 8504381148 |
| Mailing Telephone | 8507762837 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5101016050 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1717 N E ST STE 208 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326304049 | Johnathan Fred Williams | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2012-04-06 |
| 1477878023 | Jonathan Henry Quade | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2010-04-06 |
| 1518148873 | Timothy Wayne Pace | Physician Assistant | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-11-15 |
| 1992909543 | Eddie Nelson Powell II | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-06-14 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114398427 | Dr Joe A Jackson, Md Pllc | Psychiatry & Neurology | 224 E Garden St, Suite 5b Box J16, Pensacola, FL 32502-6068 | 2015-10-13 |
| 1427346766 | Joseph Allen Cahill | Psychiatry & Neurology | Naval Hospital 6000 West Highway 98, Pensacola, FL 32512-0001 | 2011-07-20 |
| 1881676419 | James David Torrisi | Psychiatry & Neurology | Covenant Hospice, 2001 N. Palafox Street, Pensacola, FL 32501 | 2005-11-18 |
| 1811989346 | Henry Olin Porter IIi | Psychiatry & Neurology | 1110 Airport Blvd, Suite B, Pensacola, FL 32504 | 2005-08-19 |
| 1003136987 | Ethan Mccaleb Gore | Psychiatry & Neurology | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2010-06-02 |
| 1730339912 | Amy K Sullivan | Psychiatry & Neurology | 5153 N 9th Ave, Suite 404, Pensacola, FL 32504-8785 | 2008-09-24 |
| 1609901487 | Lawrence King IIi | Psychiatry & Neurology | 5153 N 9th Ave, Suite 300, Pensacola, FL 32504-8785 | 2007-02-22 |
| 1386780302 | Kiumars E. Shams | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-01-29 |
| 1164595427 | John Axley | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 1912070293 | John Axley M D P A | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 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.