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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA9106467 | FL | Physician Assistants & Advanced Practice Nursing 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 |
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 |
Street Address |
2730 N MCMULLEN BOOTH RD STE 101 |
City | CLEARWATER |
State | FL |
Zip Code | 33761-3302 |
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 Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
City | CLEARWATER |
Zip Code | 33761 |
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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.