MRS. KIMBERLY ANN EDWARDS


Address: 2730 N Mcmullen Booth Rd Ste 101, Clearwater, FL 33761-3302
Phone: 7277917300

MRS. KIMBERLY ANN EDWARDS (NPI# 1639444136) 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) 1639444136
Entity Type Individual
Full Name MRS. KIMBERLY ANN EDWARDS
Credential PA-C
Practice Address 2730 N Mcmullen Booth Rd Ste 101
Clearwater
FL 33761-3302
Mailing Address 100 Whetstone Pl
Ste 206
St Augustine
FL 32086-5775
Practice Telephone 7277917300
Practice Fax Number 7277239010
Mailing Telephone 9045472808
Mailing Fax Number 9046793169
Enumeration Date 2012-03-15
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9106467 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY EDWARDS

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
1851623045 Kimberly Dawn Edwards Physical Therapy Assistant 282 Woodberry Rd, Bassett, VA 24055-3722 2010-02-12
1598964983 Kimberly Funderburk Edwards Nutritionist 820 N Thistle Ln, Maitland, FL 32751-3801 2007-07-16
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 2730 N MCMULLEN BOOTH RD STE 101
City CLEARWATER
State FL
Zip Code 33761-3302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770184210 Sandra Shanice Campisi Behavior Technician 29228 Us-19 N, Clearwater, FL 33761 2020-11-02
1659838449 Branden Kleehammer Occupational Therapy Assistant 6941 300th Ave N, Clearwater, FL 33761 2019-02-27
1063901403 Sheleaha C Egly I Behavior Technician 29288 Us Highway 19 N, Clearwater, FL 33761 2018-05-01
1760979629 Melissa Irene Valentine Social Worker 6997 300th Ave North, Clearwater, FL 33761 2018-04-17
1871011049 Maria's Adult Day Care Center Clinic/Center 26224 Us Highway 19 N., Clearwater, FL 33761 2017-09-07
1962933739 Robert Hudson Occupational Therapist 3463 Northridge Dr, Clearwater, FL 33761 2017-03-23
1366985582 Brandon Chad Brown Physician Assistant 29277 Hwy 19 North, Clearwater, FL 33761 2016-11-19
1730575606 Layne S Winker Physician Assistant 26812 Us 19 N # 19, Clearwater, FL 33761 2015-04-08
1407254907 M Christina Memoli Od Pa Optometrist 27901 Us 19 N, Clearwater, FL 33761 2014-12-15
1952729774 Gina Pietras Spohn Dermatology 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 2014-03-29
Find all providers in zip 33761

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609481209 Tia Schlachter Physician Assistant 330 Fairwood Ave Apt 103, Clearwater, FL 33759-3130 2020-09-10
1801444195 Rosalie Gabriella Holland Physician Assistant 400 Pinellas St Ste 300, Clearwater, FL 33756-3314 2019-08-29
1104334689 Manuela M Aguilar Physician Assistant 2655 State Road 580 Ste 202, Clearwater, FL 33761-3167 2018-01-18
1366968158 Brooke Barnhart Physician Assistant 1001 S Fort Harrison Ave Ste 101, Clearwater, FL 33756-3941 2017-08-14
1487027991 Jason Berger Physician Assistant 300 Pinellas St # Ms 36, Clearwater, FL 33756-3804 2015-11-05
1144690520 Amanda Elyse Gilbert Physician Assistant 611 S Fort Harrison Ave # 354, Clearwater, FL 33756-5301 2015-09-29
1730575606 Layne S Winker Physician Assistant 26812 Us 19 N # 19, Clearwater, FL 33761 2015-04-08
1699108373 Lori L Fehr Physician Assistant 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 2013-08-16
1639512791 Jaclyn L Mascarin Physician Assistant 300 Pinellas St # Ms -36, Clearwater, FL 33756-3804 2013-04-09
1285993097 Jaunice Scopelliti Cottone Physician Assistant 2454 N Mcmullen Booth Rd Ste 601, Clearwater, FL 33759-1345 2012-05-14
Find all providers in CLEARWATER

Competitor

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City CLEARWATER
Zip Code 33761

Improve Information

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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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