KIMBERLEY JEAN BOOSALES (NPI# 1205257136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257136 |
| Entity Type | Individual |
| Full Name | KIMBERLEY JEAN BOOSALES |
| Credential | C-AA |
| Practice Address |
3231 Mcmullen Booth Rd Safety Harbor FL 34695 |
| Mailing Address |
4322 Enfield Ct Palm Harbor FL 34685-1051 |
| Practice Telephone | 7277256111 |
| Mailing Telephone | 6786997696 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA211 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3231 MCMULLEN BOOTH RD |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282959 | Michael Dominic Bruno | Internal Medicine | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2005-11-16 |
| 1255944104 | Moeen Khalil Skilled Nursing Facility Consulting | Internal Medicine | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2020-08-28 |
| 1033778048 | Stephanos Nicholas Tsongranis | Nurse Practitioner | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2019-06-12 |
| 1073170163 | Brittany Lauria | Registered Nurse | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2019-05-23 |
| 1922592633 | Ashley A Lair | Nurse Practitioner | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2018-06-15 |
| 1376046896 | Amanda Winslow | Nurse Anesthetist, Certified Registered | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 | 2018-03-11 |
| 1699275305 | Kimberly Kay Bain | Nurse Practitioner | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2018-02-19 |
| 1831618362 | Maria E Tsambarlis | Physician Assistant | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2017-09-15 |
| 1215467642 | Eric Dietrich Scheck | Nurse Practitioner | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2017-06-18 |
| 1598208530 | Eugenie Anette Newby-stephan | Nurse Practitioner | 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | 2016-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
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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.