MEDICARE: KATIE JW BAUMTROG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1467142687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE JW BAUMTROG

Provider Business Mailing Address
First Line	:	13979 SPOONBILL ST N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-3134
Country	:	US
Telephone Number	:	952-201-0958
Fax Number	:

Provider Business Practice Location Address
First Line	:	13979 SPOONBILL ST N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-3134
Country	:	US
Telephone Number	:	195-220-1095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/10/2023

Similar Medicare Providers

1831042969 — DEBORAH GUERRA
Practice Location Address:

1934 RETAW ST
JACKSONVILLE, FL
32210-3134

Practice Phone: 904-257-3726
Practice Fax:

1851129100 — FRANCINE SIMPLICE RBT
Practice Location Address:

1934 RETAW ST
JACKSONVILLE, FL
32210-3134

Practice Phone: 904-339-5548
Practice Fax:

1639054372 — RISHYAH LIGHTNER
Practice Location Address:

1934 RETAW ST
JACKSONVILLE, FL
32210-3134

Practice Phone: 561-961-8899
Practice Fax:

1023494275 — KRISTEN PRESCOTT APRN
Practice Location Address:

4815 SWEETGRASS PL UNIT 201
JACKSONVILLE, FL
32224-0131

Practice Phone: 904-367-3373
Practice Fax:

1649220419 — MISS JENNIFER ANNE MORRELL APRN
Practice Location Address:

12987 WINTHROP COVE DR
JACKSONVILLE, FL
32224-7507

Practice Phone: 904-234-3484
Practice Fax:

1720939184 — MRS. CINDY LEE JACKSON OTR/L
Practice Location Address:

4500 SAN PABLO RD S
JACKSONVILLE, FL
32224-1865

Practice Phone: 904-953-2000
Practice Fax:

Directions to “ KATIE JW BAUMTROG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.