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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649892845 | Kimberly Edwards | Registered Nurse | 4334 Greenwood Ln, Grapevine, TX 76051-6718 | 2020-05-11 |
1417331232 | Kimberly Edwards | Behavioral Analyst | 8 Edwards Pl, Ewing, NJ 08628-2009 | 2015-07-10 |
1689070666 | Kimberly Edwards | Registered Nurse | 43015 Park Creek Dr, Broadlands, VA 20148-4140 | 2014-11-18 |
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 |
Street Address |
820 N THISTLE LN |
City | MAITLAND |
State | FL |
Zip Code | 32751-3801 |
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 |
Find all providers in zip 32751 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
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 |
Find all providers with the same taxonomy |
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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.