KIMBERLY ANDERSON (NPI# 1417240003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417240003 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANDERSON |
| Credential | LMT |
| Practice Address |
900 North Courtenay Parkway Suite 1 Merritt Island FL 32953 |
| Mailing Address |
1730 Richardson Road Merritt Island FL 32952 |
| Practice Telephone | 3214532844 |
| Mailing Telephone | 3217957095 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | NA-37168 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659594 | Kimberly G Anderson | Nurse Practitioner | 4089 42nd Sq, Vero Beach, FL 32967-1963 | 2020-02-03 |
| 1730724410 | Kimberly Susan Anderson | Specialist/Technologist | 708 W 4th St, Lewes, DE 19958-1284 | 2019-11-17 |
| 1740727312 | Kimberly Anderson | Licensed Practical Nurse | 102 Giminski Dr, Apartment 1, Syracuse, NY 13204-1304 | 2017-01-20 |
| 1467843292 | Kimberly Anderson | Registered Nurse | 8247 S 535 E, Sandy, UT 84070-0476 | 2015-02-16 |
| 1609279926 | Kimberly Anderson | Psychologist | 42 E Via Plaza Nueva, Santa Fe, NM 87507-8491 | 2014-10-01 |
| 1881003994 | Kimberly Dawn Anderson | Specialist/Technologist | 4280 S 246th Ave, Buckeye, AZ 85326-3351 | 2014-08-04 |
| 1295175537 | Kimberly Michelle Anderson | Case Manager/Care Coordinator | 1509 N Midwest Blvd Apt 8, Midwest City, OK 73110-3243 | 2013-07-01 |
| 1891062477 | Kimberly Michelle Anderson | Licensed Practical Nurse | 983 Ridgeway Ct Apt A, Lebanon, OH 45036-2562 | 2011-11-25 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| 1144474941 | Kimberly Sue Anderson | Optometrist | 407 City Cir, Ste 1600, Peachtree City, GA 30269-3125 | 2008-11-06 |
| Street Address |
900 NORTH COURTENAY PARKWAY SUITE 1 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| 1568594398 | Priscila Rosal Siaga Jenkins | Registered Nurse | 2575 N Coutenay Pkwy, Merritt Island, FL 32953 | 2007-03-09 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487975892 | Suzanne Marie Carson | Community Health Worker | 1345 Arlington Ave, Merritt Island, FL 32952-5401 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606813 | Assyrian Lane Thomas | Community Health Worker | 3415 30th Ln E, Bradenton, FL 34208-7248 | 2020-10-13 |
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1619580669 | Lifeline Community Support, LLC | Community Health Worker | 927 Nw 97th Ave Apt 207, Miami, FL 33172-2380 | 2020-08-28 |
| 1669083192 | Basca Inc | Community Health Worker | 352 Stowe Ave, Orange Park, FL 32073-5547 | 2020-08-10 |
| 1982228250 | Gabrielle Benoit | Community Health Worker | 510 Beverly Blvd, Brandon, FL 33511-5510 | 2020-06-03 |
| 1316576192 | Angoria Consulting Management | Community Health Worker | 1382 Sequoia Rd Nw, Palm Bay, FL 32907-2780 | 2020-04-03 |
| 1174158349 | Arcliffe Elaine Stephenson | Community Health Worker | 5336 Jubilee Way, Margate, FL 33063-8205 | 2020-03-09 |
| 1639711096 | Margarette Jean Laurent | Community Health Worker | 261 Sw Fairchild Ave, Port St Lucie, FL 34984-4908 | 2019-10-16 |
| 1609337260 | Patricia Ann Brown | Community Health Worker | 797 Teague Trl Apt 8205, Lady Lake, FL 32159-3117 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
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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.