KELLY CARSON (NPI# 1376835520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376835520 |
| Entity Type | Individual |
| Full Name | KELLY CARSON |
| Credential | PTA |
| Practice Address |
4100 14th St Ne Saint Petersburg FL 33703-5328 |
| Mailing Address |
35746 Harper Ave Clinton Twp MI 48035-3212 |
| Practice Telephone | 7274558305 |
| Mailing Telephone | 8134559621 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1988 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| 1518005313 | Kelly Carson | Marriage & Family Therapist | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2007-02-02 |
| 1801859327 | Kelly L Carson | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Ste 210, Atlanta, GA 30342-1786 | 2006-04-07 |
| Street Address |
4100 14TH ST NE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33703-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972980860 | Socrates Colindres | Contractor | 333 5th St S Apt 2, Saint Petersburg, FL 33701-4447 | 2015-04-30 |
| 1982096905 | Gennell Grant | Contractor | 619 16th Ave S, Saint Petersburg, FL 33701-5407 | 2015-02-27 |
| 1376946673 | Andrea Bushway | Contractor | 3639 5th Ave N, Saint Petersburg, FL 33713-7503 | 2014-09-30 |
| 1346537842 | Maj Robinson | Contractor | 2596 Columbus Way S, Saint Petersburg, FL 33712-3905 | 2011-07-05 |
| 1265664767 | Phoung Haboon Mccarthy | Contractor | 3721 36th St N, Saint Petersburg, FL 33713-1415 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33703 |
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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.