| Escambia Community Clinics Inc | |
|
2315 W Jackson St Pensacola FL 32505-7552 | |
| (850) 436-4630 | |
| (850) 436-2095 |
| Full Name | Escambia Community Clinics Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2315 W Jackson St, Pensacola, Florida |
| Authorized Official Name and Position | Chandra Smiley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504364630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Escambia Community Clinics Inc 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Escambia Community Clinics Inc 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 |
| NPI Number | 1518971597 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20040422001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518971597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Diane M Wilkinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699729228 PECOS PAC ID: 3476510884 Enrollment ID: I20041217000196 |
| Provider Name | Mary U Charbonneau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962445189 PECOS PAC ID: 0446201495 Enrollment ID: I20050207000760 |
| Provider Name | Joseph E Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770769820 PECOS PAC ID: 8426137209 Enrollment ID: I20080505000694 |
| Provider Name | Sharon L Seidel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821258021 PECOS PAC ID: 7214003912 Enrollment ID: I20080903000614 |
| Provider Name | John J Lanza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508829698 PECOS PAC ID: 6608912498 Enrollment ID: I20091009000362 |
| Provider Name | Richard J Strahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508944950 PECOS PAC ID: 4284760885 Enrollment ID: I20100408000252 |
| Provider Name | Patricia L Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467760942 PECOS PAC ID: 2466646294 Enrollment ID: I20101104001589 |
| Provider Name | Dina D Jaalouk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427112374 PECOS PAC ID: 8820283930 Enrollment ID: I20101115001348 |
| Provider Name | Dannette Aguirre Saguan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790923290 PECOS PAC ID: 6204011703 Enrollment ID: I20110427000345 |
| Provider Name | Danniel A Mines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992718985 PECOS PAC ID: 8729258660 Enrollment ID: I20110831000587 |
| Provider Name | Whitney P White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447559471 PECOS PAC ID: 9739350620 Enrollment ID: I20110926000800 |
| Provider Name | Catherine D Voght |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306951413 PECOS PAC ID: 0840464293 Enrollment ID: I20111121000356 |
| Provider Name | George A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861405862 PECOS PAC ID: 8527100239 Enrollment ID: I20111128000577 |
| Provider Name | Richard D Freier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568625804 PECOS PAC ID: 9234304007 Enrollment ID: I20111206000166 |
| Provider Name | Pamela M Grier-hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366418808 PECOS PAC ID: 4981866845 Enrollment ID: I20120510000446 |
| Provider Name | Laurel A Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467886598 PECOS PAC ID: 7315171378 Enrollment ID: I20131004000276 |
| Provider Name | Juanita Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740406289 PECOS PAC ID: 1254487325 Enrollment ID: I20141104000513 |
| Provider Name | Kesha T Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467857987 PECOS PAC ID: 5890019269 Enrollment ID: I20150114000505 |
| Provider Name | April Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194058826 PECOS PAC ID: 6002037082 Enrollment ID: I20150521002300 |
| Provider Name | Stephanie L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144462417 PECOS PAC ID: 9931329414 Enrollment ID: I20150521002411 |
| Provider Name | Melissa Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609844562 PECOS PAC ID: 1850573692 Enrollment ID: I20150521002503 |
| Provider Name | Quetheline Helvetius-lanza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447234398 PECOS PAC ID: 6608096300 Enrollment ID: I20150521002528 |
| Provider Name | Heidy J. Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891788576 PECOS PAC ID: 4486974821 Enrollment ID: I20150526001886 |
| Provider Name | Nesrin C Yurttutan Engin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306196019 PECOS PAC ID: 4880902295 Enrollment ID: I20151005002963 |
| Provider Name | Marian B Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407818313 PECOS PAC ID: 7214238633 Enrollment ID: I20151209000430 |
| Provider Name | Ryan Allen Bianco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740640200 PECOS PAC ID: 1658679402 Enrollment ID: I20160412002832 |
| Provider Name | Lakeema B Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851654701 PECOS PAC ID: 0547555138 Enrollment ID: I20160822001069 |
| Provider Name | Andrea E Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619335809 PECOS PAC ID: 2567740707 Enrollment ID: I20161024000748 |
| Provider Name | Shelby L Amaral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609246412 PECOS PAC ID: 2860770302 Enrollment ID: I20161103000936 |
| Provider Name | Frankie J Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477848026 PECOS PAC ID: 8325321193 Enrollment ID: I20170118002234 |
| Provider Name | Jessica M Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485170 PECOS PAC ID: 3779867825 Enrollment ID: I20170309000488 |
| Provider Name | Valerie A Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467812255 PECOS PAC ID: 8820375850 Enrollment ID: I20170501000849 |
| Provider Name | Denise H Suri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679015457 PECOS PAC ID: 0648542639 Enrollment ID: I20170825002560 |
| Provider Name | Nicole K Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487038220 PECOS PAC ID: 0042578049 Enrollment ID: I20171221000088 |
| Provider Name | Jamie C Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033389879 PECOS PAC ID: 6507058294 Enrollment ID: I20180213001242 |
| Provider Name | Lena M Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126692 PECOS PAC ID: 6204197064 Enrollment ID: I20180219002845 |
| Provider Name | Paula R Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245727676 PECOS PAC ID: 5496002727 Enrollment ID: I20180718001549 |
| Provider Name | Samuel F Ravenel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184679375 PECOS PAC ID: 3173592961 Enrollment ID: I20180816001007 |
| Provider Name | Matthew W Southwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669451282 PECOS PAC ID: 0042564239 Enrollment ID: I20181106001675 |
| Provider Name | Jeremy S Scherer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568841971 PECOS PAC ID: 8426302076 Enrollment ID: I20181116001728 |
| Provider Name | Julia L Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497241434 PECOS PAC ID: 5597019190 Enrollment ID: I20181119000623 |
| Provider Name | Jennifer M Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134195613 PECOS PAC ID: 2668716598 Enrollment ID: I20181204002873 |
| Provider Name | Carlos Arauco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366452815 PECOS PAC ID: 9133210099 Enrollment ID: I20181212001399 |
| Provider Name | Ginger E Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679947352 PECOS PAC ID: 9537409370 Enrollment ID: I20190314001004 |
| Provider Name | Amanda M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104398098 PECOS PAC ID: 1759622392 Enrollment ID: I20190409002724 |
| Provider Name | Lindi N Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548700479 PECOS PAC ID: 7911230974 Enrollment ID: I20190605002596 |
| Provider Name | Mary Alice Johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194952333 PECOS PAC ID: 9830328962 Enrollment ID: I20191011000157 |
| Provider Name | Elsye S Schrandt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003260316 PECOS PAC ID: 8527490846 Enrollment ID: I20191107000427 |
| Provider Name | Vanessa Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731415 PECOS PAC ID: 7911336094 Enrollment ID: I20200413000708 |
| Provider Name | Symika L. Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548893001 PECOS PAC ID: 3476961970 Enrollment ID: I20210422000884 |
| Provider Name | Maria K Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083388946 PECOS PAC ID: 4880086792 Enrollment ID: I20220126000252 |
| Provider Name | Desiree N Statler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245800226 PECOS PAC ID: 0840682738 Enrollment ID: I20220127000395 |
| Provider Name | Lauren E Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497322424 PECOS PAC ID: 2668860404 Enrollment ID: I20220517001886 |
| Provider Name | Tara S Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942692157 PECOS PAC ID: 4486972510 Enrollment ID: I20220614000245 |
| Provider Name | Nathan I Albrecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740749670 PECOS PAC ID: 0345621322 Enrollment ID: I20220721003687 |
| Provider Name | Joseph P Klawitter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942266952 PECOS PAC ID: 2264794395 Enrollment ID: I20220913002247 |
| Provider Name | Laura L Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972239283 PECOS PAC ID: 8022493360 Enrollment ID: I20220922001182 |
| Provider Name | Sarah F Donnelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649740507 PECOS PAC ID: 6901275155 Enrollment ID: I20221209000464 |
| Provider Name | Dylan J Stovall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306591375 PECOS PAC ID: 3274902465 Enrollment ID: I20221209002006 |
| Provider Name | Heather Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558061549 PECOS PAC ID: 1456716448 Enrollment ID: I20230426001612 |
| Provider Name | Rebecca J Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861072472 PECOS PAC ID: 9931591310 Enrollment ID: I20230625000012 |
| Provider Name | Julia J Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427730704 PECOS PAC ID: 9234583139 Enrollment ID: I20230926004072 |
| Provider Name | Hali N Pearce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063973675 PECOS PAC ID: 7911235031 Enrollment ID: I20231003002324 |
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