Avalon Medical Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AVALON MEDICAL GROUP

Practice address

1900 Summit Blvd
Pensacola, FL 32503-3359

Phone

(850) 436-5900

NPI assigned

Mar 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Katherine K Stanley, ARNP-BCNPI 1093791550

Title

Authorized Agent

Phone

(850) 485-7341

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine K Stanley, ARNP

  • Gerontology Nurse Practitioner
  • Milton, FL
  • NPI 1093791550
  NPD Authorized official
• Janice Tate Hoff, ARNP

  • Gerontology Nurse Practitioner
  • Pensacola, FL
  • NPI 1073598009
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1558531905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10209",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325240209",
            "telephone_number": "850-476-4200",
            "fax_number": "866-684-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033359",
            "telephone_number": "850-436-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "850-485-7341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "00A0P",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001078000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Autrey, LMHC
• Kirsten Auzenne
• Ava Caregivers LLC
• Ava Health Care LLC
• Ava Health Care LLC
• Avenir Ventures, L.L.C. (Comfort Care Medical Group)
• Awaken Brain Health
• Frank Orla Axelsen, M.D.
• Debra Axley, ARNP
• John Axley, M.D.

• Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.