KELLEY VANDEN HEUVEL (NPI# 1184884421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184884421 |
| Entity Type | Individual |
| Full Name | KELLEY VANDEN HEUVEL |
| Other Name | KELLEY KUCZYNSKI |
| Credential | NNP |
| Practice Address |
501 6th Ave S St Petersburg FL 33701-4634 |
| Practice Telephone | 7277678181 |
| Practice Fax Number | 7277678030 |
| Mailing Telephone | 7277678181 |
| Mailing Fax Number | 7277678030 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
722312 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
ARNP9323922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8Y9717 | 01 |
| Street Address |
501 6TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152378 | James M Anderson | Radiology | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2005-05-24 |
| 1104434737 | Sarah Walker Beyrouti | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-07-20 |
| 1689291643 | Katie Kauffman | Registered Nurse | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-06-25 |
| 1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
| 1336769256 | Phung Baxter | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-21 |
| 1891314878 | Elizabeth Cunningham | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-10 |
| 1780212860 | Kassey Wash | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1083242200 | Matthew James Hamilton | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1932737442 | Emily Zander | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| 1114555893 | Madhuri Prasad | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883100 | Melissa Kay Lopez | Nurse Practitioner | 501 6th Ave N Dept 6220, St Petersburg, FL 33701-2307 | 2012-09-18 |
| 1245490168 | Sherie Collins | Nurse Practitioner | 1030 Bella Vista Dr Ne, St Petersburg, FL 33702 | 2008-06-13 |
| 1609043561 | Paula M Timoney | Nurse Practitioner | 676 Apalachee Cir Ne, St Petersburg, FL 33702-2722 | 2008-05-09 |
| 1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
| 1457802290 | Michelle Renee Chadbourne | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2016-10-17 |
| 1639555295 | Amy Marie Logan | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-08-06 |
| 1316322118 | Christy Lynne Wood | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-07-22 |
| 1083967434 | Kelly Kay Keener | Nurse Practitioner | 501 6th St S, Dept: 6220, St Petersburg, FL 33701-4630 | 2012-10-23 |
| 1407120819 | Nicole Alice Navarre | Nurse Practitioner | 501 6th Ave S, Dept 6590070301, St Petersburg, FL 33701-4634 | 2012-03-02 |
| 1922370766 | Pamela Jean Hohn | Nurse Practitioner | 501 6th Ave S, Dept. 6220, St Petersburg, FL 33701-4634 | 2012-02-08 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.