FRIDAH KIRIMI


Address: 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468
Phone: 9042609445

FRIDAH KIRIMI (NPI# 1467988246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467988246
Entity Type Individual
Full Name FRIDAH KIRIMI
Credential ARNP
Practice Address 14546 Old Saint Augustine Rd
Bldg 1 Suite 317
Jacksonville
FL 32258-5468
Mailing Address 7015 A C Skinner Pkwy
Suite 1
Jacksonville
FL 32256-6932
Practice Telephone 9042609445
Practice Fax Number 9042600005
Mailing Telephone 9043632113
Mailing Fax Number 9043632606
Enumeration Date 2017-05-11
Last Update Date 2017-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP9273605 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA BLUE 4WPVS 01
FL 020913300 05
FL MEDICARE IY693Z 01

Office Location

Street Address 14546 OLD SAINT AUGUSTINE RD
BLDG 1 SUITE 317
City JACKSONVILLE
State FL
Zip Code 32258-5468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437154804 Kyle G Corbin Physical Therapist 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 2005-06-14
1881208593 Aaron Bailey Registered Nurse 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2020-09-01
1801354675 Morgen Rachel Fletcher Physician Assistant 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2019-03-11
1275901878 Paul David Provenzano Physical Therapist 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2015-09-14
1992188825 Julianne Bryce Physical Therapist 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 2015-07-09
1174954630 Ashley B Burton Social Worker 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 2013-12-10
1376895888 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 2012-10-08
1245591114 Amber Rose Schueler Whitehead Massage Therapist 14546 Old Saint Augustine Rd, Suite 403, Jacksonville, FL 32258-5468 2012-06-06
1790051845 Baptist Cardiology, Inc. Internal Medicine 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 2012-03-22
1497029870 Karen Heavner Nurse Practitioner 14546 Old Saint Augustine Rd, Suite 107, Jacksonville, FL 32258-5468 2012-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023615440 Bridget Mary Rossi Nurse Practitioner 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 2020-10-08
1972119535 Dennis Carmelo Cadiz Serfino Nurse Practitioner 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 2020-09-18
1497368757 Arthur C Ricker Jr. Nurse Practitioner 501 E Bay St Fl 32202, Jacksonville, FL 32202-2927 2020-08-26
1851851554 Veronica H Bartley Nurse Practitioner 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 2019-03-20
1366947475 Tikilia Denise Scott Nurse Practitioner 3599 University Blvd S Ste 400, Jacksonville, FL 32216-4232 2018-03-29
1376065417 Geraldine M Obi Nurse Practitioner 3599 University Blvd S Ste 1600, Jacksonville, FL 32216-7441 2017-07-11
1881130060 Yaazmiyn White Nurse Practitioner 8868 Merseyside Ave, Jacksonville, FL 32219-4355 2017-01-12
1821545872 Anmarie Chandler Nurse Practitioner 320 Branscomb Dr Sw Ste A, Jacksonville, AL 36265-3102 2016-09-07
1538523402 Julia Peters Paul Nurse Practitioner 10898 Tarin Dr, Jacksonville, FL 32218-4808 2016-04-07
1487035465 Aggie Kalyn Hunt Nurse Practitioner 237 Old White Street, Suite 1, Jacksonville, NC 28546-6351 2015-06-15
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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