PAVEL KASIANOV (NPI# 1861943680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861943680 |
| Entity Type | Individual |
| Full Name | PAVEL KASIANOV |
| Credential | NP-C |
| Practice Address |
4624 N Davis Hwy Pensacola FL 32503-2337 |
| Practice Telephone | 8504940000 |
| Practice Fax Number | 8504940001 |
| Mailing Telephone | 8504940000 |
| Mailing Fax Number | 8504940001 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9344609 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4624 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477506806 | Donna G Cooper | Nurse Practitioner | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2006-05-18 |
| 1811453566 | Kimberly Shae Selvio | Nurse Practitioner | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2019-02-19 |
| 1477093292 | Karen Pronko | Physical Therapist | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2017-02-27 |
| 1881130524 | Lucresia Gapasin | Nurse Practitioner | 4624 N Davis Hwy, Pensacola, FL 32503 | 2017-01-18 |
| 1871040386 | Louis Bolter | Physical Therapist | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2016-09-01 |
| 1578958203 | Steven Roupe | Physical Therapy Assistant | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2015-03-31 |
| 1265769962 | Sean Joseph Lovallo | Physician Assistant | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2009-11-17 |
| 1053554261 | Eric Michael Shoemaker | Physical Medicine & Rehabilitation | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2009-04-17 |
| 1710004544 | Carrie Ann Steichen | Pain Medicine | 4624 N Davis Hwy, Pensacola, FL 32503 | 2007-03-25 |
| 1013074897 | Pain Consultants of West Florida P A | Pain Medicine | 4624 N Davis Hwy, Pensacola, FL 32503-2337 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1275143760 | Katherine Brooke Barnes | Nurse Practitioner | 816 Tanglewood Dr, Pensacola, FL 32503-3224 | 2020-08-09 |
| 1306462700 | Jessica Hollingsworth | Nurse Practitioner | 4616 Marseille Dr, Pensacola, FL 32505-2624 | 2020-06-22 |
| 1427677756 | Buffi G Bailey | Nurse Practitioner | 5980 Osprey Pl, Pensacola, FL 32504-7938 | 2020-04-16 |
| 1295215911 | Selma Mehmedovic | Nurse Practitioner | 54 Assana Ct, Pensacola, FL 32506-9305 | 2018-08-21 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1750731774 | Gulf Coast Health Care LLC | Nurse Practitioner | 40 Palafox Pl Ste 400, Pensacola, FL 32502-5699 | 2016-06-21 |
| 1538563028 | Dana Bebber | Nurse Practitioner | 1230 Creighton Rd, Pensacola, FL 32504-7161 | 2014-10-13 |
| 1952702086 | Peggy Davis Neese | Nurse Practitioner | 7641 Old Hickory Dr, Pensacola, FL 32507-1682 | 2014-09-08 |
| 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.