Kristina Ducharme, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29403 Issued in FL

Practice address

9400 University Pkwy
Pensacola, FL 32514-5752

Phone

(850) 208-6000

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1780235390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LANGLEY CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048357",
            "telephone_number": "586-713-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-208-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "KRISTINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.ebaptisthealthcare.org/BMPNineMile",
            "affiliation": "N",
            "endpointDescription": "hosptial based outpatient",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9400 University Pkwy",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325145752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.ducharme@bhcpns.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "9400 University Pkwy",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325145752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lieng Kim Du, M.D.
• Mariangela Duarte Rojas, MD
• Bryce Christopher Dubois, PT, DPT
• Debra Dubose, MSW LICENSED CLINICA
• Yolonda Dubose, LCSW
• Christina Grace Duckworth, PA-C
• Sinticky Ducote, APRN
• Tansley Ducote
• Ann E Duerr, MD
• Jennifer Anne Duerr, RD, LD, CDE

• Physical Therapy Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.