MS. KIMBERLY SNYDER RISTAU (NPI# 1023274727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023274727 |
Entity Type | Individual |
Full Name | MS. KIMBERLY SNYDER RISTAU |
Credential | ARNP |
Practice Address |
5767 49th St N Ste A St Petersburg FL 33709-2106 |
Mailing Address |
5108 Bay Isle Cir Clearwater FL 33760-2959 |
Practice Telephone | 7272952833 |
Mailing Telephone | 7274220856 |
Enumeration Date | 2008-08-01 |
Last Update Date | 2019-10-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1756262 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE NUMBER | BH638Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548400732 | Kimberly Nicole Ristau | Physical Therapist | 774 Fairmount Ave, Jamestown, Jamestown, NY 14701 | 2009-02-27 |
Street Address |
5767 49TH ST N STE A |
City | ST PETERSBURG |
State | FL |
Zip Code | 33709-2106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
Find all providers in zip 33709 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720644677 | Marie Helen Dailey | Nurse Practitioner | 10601 Gandy Blvd N Apt 2220, St Petersburg, FL 33702-1484 | 2019-05-16 |
1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
1801285051 | Ronsha Brown | Nurse Practitioner | 3551 42nd Ave S Ste B107, St Petersburg, FL 33711-4369 | 2015-01-12 |
1053718395 | Laurel Elizabeth Dimaggio | Nurse Practitioner | 3040 2nd Ave N, St Petersburg, FL 33713-8615 | 2014-12-02 |
1558790949 | Kristine Marie Sferra | Nurse Practitioner | 6325 23rd Ln N, St Petersburg, FL 33702-5624 | 2013-11-05 |
1770927485 | Charlotte Deolaso | Nurse Practitioner | 859 37th Ave Ne, St Petersburg, FL 33704-1621 | 2013-04-24 |
1811152366 | Sago Superior Management Inc | Nurse Practitioner | 3040 36th Ave S, St Petersburg, FL 33712-3731 | 2008-07-24 |
1841498623 | Sandra Marie Racine | Nurse Practitioner | 6499 38th Ave N Ste G1, St Petersburg, FL 33710-1658 | 2007-07-03 |
1013968189 | Brenda Dunlap | Nurse Practitioner | 900 49th St N, St Petersburg, FL 33710-6625 | 2006-05-13 |
1477510352 | Catherine Marie Prawer | Nurse Practitioner | 5101 Brittany Dr S, St Petersburg, FL 33715-1565 | 2006-04-26 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33709 |
Please comment or provide details below to improve the information on MS. KIMBERLY SNYDER RISTAU.
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.