KADIAN SIMMONDS (NPI# 1508240888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508240888 |
Entity Type | Individual |
Full Name | KADIAN SIMMONDS |
Practice Address |
3801 S Kanner Hwy Ste 200 Stuart FL 34994-4801 |
Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
Practice Telephone | 7724194834 |
Practice Fax Number | 7723443890 |
Mailing Telephone | 7722232832 |
Mailing Fax Number | 7722235646 |
Enumeration Date | 2015-07-16 |
Last Update Date | 2020-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07151021 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA BLUE | GYJQ1 | 01 |
FL | 015833600 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 349872117 | 7723443811 | 7723443890 |
Street Address |
3801 S KANNER HWY STE 200 |
City | STUART |
State | FL |
Zip Code | 34994-4801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437157864 | George Harold Rittersbach Jr. | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2005-07-11 |
1871138958 | Joseph Hamilton | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2019-11-12 |
1043750839 | Christopher Andrew Royall | Physician Assistant | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2017-02-28 |
1487193132 | Kelly Kriklava | Physician Assistant | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2017-02-14 |
1386033686 | Kira Jean De Gregorio | Advanced Practice Midwife | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2015-01-10 |
1689080376 | Kristen Mulcahy | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2014-07-02 |
1306282199 | Christopher Mark Begley | Internal Medicine | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-20 |
1679918635 | Lorenzo Digiorgio | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-05 |
1528402187 | Iker Newell Unzalu | Anesthesiology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-04-24 |
1487902771 | Carolyn F O'malley | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2012-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563927 | Justin M Dowd | Nurse Practitioner | 5702 Se Hull St, Stuart, FL 34997-2407 | 2020-06-19 |
1689206856 | Janine Benedetto | Nurse Practitioner | 1600 Sw Belgrave Ter, Stuart, FL 34997-7069 | 2020-02-06 |
1417504564 | Heather Michelle Hershberger | Nurse Practitioner | 1800 Sw Hackman Ter, Stuart, FL 34997-7006 | 2019-08-23 |
1447810825 | Allison Nicole Rudd | Nurse Practitioner | 2220 Se Ocean Blvd Ste 301, Stuart, FL 34996-3301 | 2019-06-18 |
1306313523 | Leah Nicole Catullo | Nurse Practitioner | 260 Se Cardinal Trl, Stuart, FL 34997-7304 | 2018-10-25 |
1275018731 | Heather Marie Hilton | Nurse Practitioner | 501 Se Osceola St Ste 100, Stuart, FL 34994-2302 | 2018-10-01 |
1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
1578067435 | Cassandra A Jackson | Nurse Practitioner | 298 Sw Walking Path, Stuart, FL 34997-3038 | 2018-03-23 |
1538686977 | Deborah Suzanne Swain | Nurse Practitioner | 2675 Nw South Shore Rd, Stuart, FL 34994-9162 | 2017-08-25 |
1710401104 | Sandra Velasquez | Nurse Practitioner | 1050 Se Monterey Rd Ste 203, Stuart, FL 34994-4512 | 2017-07-27 |
Find all providers in STUART |
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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.