MRS. KIMBERLY FUNDERBURK EDWARDS


Address: 820 N Thistle Ln, Maitland, FL 32751-3801
Phone: 4073991610

MRS. KIMBERLY FUNDERBURK EDWARDS (NPI# 1598964983) 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) 1598964983
Entity Type Individual
Full Name MRS. KIMBERLY FUNDERBURK EDWARDS
Credential R.D.,L.D
Practice Address 820 N Thistle Ln
Maitland
FL 32751-3801
Practice Telephone 4073991610
Practice Fax Number 4076477694
Mailing Telephone 4073991610
Mailing Fax Number 4076477694
Enumeration Date 2007-07-16
Last Update Date 2007-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133NN1002X Nutritionist
Specialization: Nutrition, Education
565 FL Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 565 FL Dietary & Nutritional Service Providers
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
565 FL Dietary & Nutritional Service Providers

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1447691274 Kimberly Camille Edwards Dietitian, Registered 45040 Promise Rd, Lake Elsinore, CA 92532-1500 2013-07-09
1639444136 Kimberly Ann Edwards Physician Assistant 2730 N Mcmullen Booth Rd Ste 101, Clearwater, FL 33761-3302 2012-03-15
1851623045 Kimberly Dawn Edwards Physical Therapy Assistant 282 Woodberry Rd, Bassett, VA 24055-3722 2010-02-12
1447333885 Kimberly A Edwards Specialist 1107 Oak St, Milton, WA 98354-9234 2006-10-21
1831140219 Kimberly A Edwards Specialist 2303 N Swan Rd, Tucson, AZ 85712-2716 2006-05-12
1710548268 Kimberly Jean Edwards Physical Therapy Assistant 2116 W South 3rd St, Shelbyville, IL 62565-9102 2019-06-25
1740764752 Kimberly Edwards Counselor 124 Mallard St, Greenville, SC 29601-4046 2018-09-17

Office Location

Street Address 820 N THISTLE LN
City MAITLAND
State FL
Zip Code 32751-3801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302899 Compassionate Care Psychiatry Psychiatry & Neurology 1717 Goldveiw Drive, Maitland, FL 32751 2020-09-24
1437763497 Allstar Kids Behavioral Services, Inc Counselor 467 Lake Howell Rd Suite 102, Maitland, FL 32751 2020-09-06
1003428269 Cmg- New Season- St. Louis Metro Treatment Center Counselor 2500 Maitland Center Parkway 250, Maitland, FL 32751 2020-08-19
1821616228 Katherine Tchir Anesthesiologist Assistant 851 Trafalgar Court Suite 200e, Maitland, FL 32751 2020-07-12
1699309518 Karin Scotchie Occupational Therapist 1700 Monroe Rd, Maitland, FL 32751 2020-02-29
1184255929 Counseling Specialists, Inc. Counselor 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 2020-01-30
1427528074 Auricular Health Center Clinic/Center 237 Lookout Place, Maitland, FL 32751 2018-11-27
1710456181 Yadiel Munoz Counselor 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 2018-11-15
1780152678 Rebecca Hernandez Case Manager/Care Coordinator 1000 Winderley Pl Unit 221, Maitland, FL 32751 2018-11-08
1548742901 David Cromer Social Worker 225 S. Swoope Ave #211, Maitland, FL 32751 2018-09-02
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588274104 Mary Ellen Bing Dietitian, Registered 32 Iroquois Trl, Ormond Beach, FL 32174-4332 2020-08-07
1114545605 Erika Marie Stahl Dietitian, Registered 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 2020-07-10
1659905016 Erika Cook Dietitian, Registered 7 Sea Oaks Dr, St Augustine, FL 32080-7914 2020-02-25
1669039285 Jennifer Mann Dietitian, Registered 1647 Island Way, Weston, FL 33326 2019-05-20
1306343850 Annmarie Duggan Dietitian, Registered 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 2018-04-11
1245500933 Jeanette Poillucci Dietitian, Registered 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 2012-01-11
1710297452 Susan Lynn Bottiglieri Dietitian, Registered 6641 Current Dr, Apollo Beach, FL 33572-1544 2010-10-15
1609189059 John Dodd Dietitian, Registered 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 2010-07-14
1548588627 Cesiah Rojas Dietitian, Registered 11809 Sw 103rd Ln, Miami, FL 33186-8541 2010-05-13
1992020705 Susan Marie Meese-morris Dietitian, Registered 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 2010-04-05
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Competitor

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City MAITLAND
Zip Code 32751

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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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