KRISTIN BRUNER (NPI# 1104363100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104363100 |
| Entity Type | Individual |
| Full Name | KRISTIN BRUNER |
| Practice Address |
3657 Longbow Rd Cocoa FL 32926-4442 |
| Practice Telephone | 3218778590 |
| Mailing Telephone | 3218778590 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OTA9712 | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621800 | Kristin Noelle Bruner | Registered Nurse | 5604 Coliseum Blvd Ste A, Alexandria, LA 71303-3993 | 2019-07-17 |
| Street Address |
3657 LONGBOW RD |
| City | COCOA |
| State | FL |
| Zip Code | 32926-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659619146 | Jennifer Vajanyi | Pharmacist | 2301 Sr 524, Cocoa, FL 32926 | 2013-01-18 |
| 1992077515 | Carol Ann Shirley | Occupational Therapy Assistant | 3032 Dunhill Drive, Cocoa, FL 32926 | 2012-01-27 |
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1740403450 | Katherine Elizabeth Holeman | Counselor | 690 Friday Road, Cocoa, FL 32926 | 2007-04-11 |
| 1326102336 | The Devereux Foundation | Clinic/Center | 225 N Burnett Drive, Cocoa, FL 32926 | 2006-12-21 |
| 1073553483 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2301 Sr 524 Lot 150, Cocoa, FL 32926 | 2006-06-07 |
| 1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
| 1487938247 | Delatron Johnson | Occupational Therapy Assistant | 1297 Mycroft Dr, Cocoa, FL 32926-1826 | 2011-09-28 |
| 1487944435 | Rhonda Jones-davis | Marriage & Family Therapist | 5402 Talbot Blvd, Cocoa, FL 32926-1834 | 2011-04-12 |
| 1275760605 | Deborah Lynn Lombard | Nurse Practitioner | 362 Cressa Cir, Cocoa, FL 32926-2462 | 2009-06-11 |
| Find all providers in zip 32926 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1982205928 | Christian Miguel Castilla | Student in an Organized Health Care Education/Training Program | 6800 Nw 39th Ave Lot 173, Coconut Creek, FL 33073-2159 | 2020-11-05 |
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1477153286 | Bruce Jordan Billinger | Student in an Organized Health Care Education/Training Program | 8851 Us Highway 19 N Apt 2307, Pinellas Park, FL 33782-5842 | 2020-10-30 |
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1053910752 | Nicole Maria Cooke | Student in an Organized Health Care Education/Training Program | 211 Buck Run Way, Saint Augustine, FL 32092-1833 | 2020-10-22 |
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| 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.