MS. KERRY LYNN CONCA (NPI# 1487945143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487945143 |
| Entity Type | Individual |
| Full Name | MS. KERRY LYNN CONCA |
| Credential | M.A. |
| Practice Address |
4902 Eisenhower Blvd Suite 315 Tampa FL 33634-6310 |
| Mailing Address |
14726 Morning Dr Lutz FL 33559-3217 |
| Practice Telephone | 8132908560 |
| Mailing Telephone | 7273891374 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4902 EISENHOWER BLVD SUITE 315 |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881746543 | Families First of Florida | Community/Behavioral Health | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2007-01-16 |
| 1114429024 | Kellie Ann Kizis | Social Worker | 4902 Eisenhower Blvd, Tampa, FL 33634-6310 | 2018-03-06 |
| 1710338181 | Valarese Dailey | Community/Behavioral Health | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2016-06-28 |
| 1013396605 | Elyssa Liz Arevalo | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2015-05-28 |
| 1497141030 | Tisheila Sharee Justice | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2015-04-10 |
| 1942691738 | Shayna Sherie Siplin | Counselor | 4902 Eisenhower Blvd, 315, Tampa, FL 33634-6310 | 2015-02-15 |
| 1326454141 | Allison Mcleod Boutwell | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2014-07-02 |
| 1053724245 | Brittany Anne Stewart | Social Worker | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2014-06-05 |
| 1124453626 | Tania Lopez | Internal Medicine | 4902 Eisenhower Blvd, Suite 300, Tampa, FL 33634-6310 | 2013-09-04 |
| 1952649980 | Stacey Ann Singleton | Counselor | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2013-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546146 | Rebecca M Slack | Counselor | 4422 E Columbus Dr Fl 33605, Tampa, FL 33605-3233 | 2020-10-22 |
| 1003415852 | Betsy Rose Rodriguez | Counselor | 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602-4231 | 2020-10-22 |
| 1124626155 | Laverne Brown | Counselor | 10964 Brightside Dr, Tampa, FL 33624-7007 | 2020-10-12 |
| 1639786064 | Brittany Richardson Smiley | Counselor | 1610 E Osborne Ave, Tampa, FL 33610-6045 | 2020-09-29 |
| 1356957492 | Latoya K Claxton | Counselor | 17106 Carrington Park Dr Apt 601, Tampa, FL 33647-2627 | 2020-09-22 |
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1952915795 | Kathy Thompson | Counselor | 4115 W Spruce St Ste 205, Tampa, FL 33607-2485 | 2020-08-31 |
| 1467066233 | Samantha Tubbs-crews, Lmhc | Counselor | 1211 N West Shore Blvd Ste 100, Tampa, FL 33607-4601 | 2020-08-31 |
| 1699388744 | R.e.s.e.t. Counseling Services LLC | Counselor | 1806 E Hanna Ave, Tampa, FL 33610-3543 | 2020-08-28 |
| 1700401056 | Jamie Tyus | Counselor | 3825 Henderson Blvd Ste 404, Tampa, FL 33629-5012 | 2020-06-12 |
| Find all providers in TAMPA | ||||
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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.