AIMEE LIGHTBURN (NPI# 1104325364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104325364 |
Entity Type | Individual |
Full Name | AIMEE LIGHTBURN |
Practice Address |
7512 Cypress Gardens Blvd Winter Haven FL 33884-3200 |
Practice Telephone | 4079774335 |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH14655 | FL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1975 S John Young Pkwy, Kissimmee, FL 347410603 | 3212361540 |
Street Address |
7512 CYPRESS GARDENS BLVD |
City | WINTER HAVEN |
State | FL |
Zip Code | 33884-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
Find all providers in zip 33884 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487286472 | Briana Renee Coffman | Counselor | 650 Avenue K Nw, Winter Haven, FL 33881-4032 | 2020-02-07 |
1962034207 | Amy Radivoy | Counselor | 333 Lake Howard Dr Nw Apt 312b, Winter Haven, FL 33880-2310 | 2020-02-05 |
1568024578 | Deirdra Eileen Sanders-burnett | Counselor | 1106 Meadow Lark Ln, Winter Haven, FL 33884-2543 | 2019-07-01 |
1407416514 | Elzie Dwight Frazier | Counselor | 526 Cody Caleb Dr, Winter Haven, FL 33884-2206 | 2019-06-20 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1386195329 | Patti Beisner | Counselor | 438 Gleneagles Ct, Winter Haven, FL 33884-1221 | 2016-10-14 |
1538544564 | Erik Gordon | Counselor | 713 S Lake Florence Dr, Winter Haven, FL 33884-2249 | 2015-07-20 |
1811390164 | Marie Beauvil | Counselor | 707 25th St Nw, Winter Haven, FL 33881-2937 | 2014-10-01 |
1003247883 | Sarah Steger | Counselor | 343 Terranova Blvd, Winter Haven, FL 33884-3427 | 2013-12-04 |
1053740555 | Colleen Way | Counselor | 505 Avenue B Nw, Winter Haven, FL 33881-4607 | 2013-11-05 |
Find all providers in WINTER HAVEN |
City | WINTER HAVEN |
Zip Code | 33884 |
Please comment or provide details below to improve the information on AIMEE LIGHTBURN.
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.