KIMBERLY CALLOW (NPI# 1740795723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740795723 |
| Entity Type | Individual |
| Full Name | KIMBERLY CALLOW |
| Credential | DNP |
| Practice Address |
11715 Rangeland Pkwy Bradenton FL 34211-9529 |
| Mailing Address |
943 S Beneva Rd Ste 306 Sarasota FL 34232-2499 |
| Practice Telephone | 9415380092 |
| Practice Fax Number | 9415380093 |
| Mailing Telephone | 9419551108 |
| Mailing Fax Number | 9419544440 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9325195 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11715 RANGELAND PKWY |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174596050 | Robert James Summerlee | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2006-02-10 |
| 1508418153 | Francisco Tellechea Rotta | Psychiatry & Neurology | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2019-07-14 |
| 1699137299 | Brian Kyle Melcher | Family Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2016-03-23 |
| 1275952780 | Taylor Lloyd Dodgen | Dermatology | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2014-04-11 |
| 1194067520 | Megan Lee Guerrero | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2013-03-24 |
| 1659699072 | Deborah Majchel Koss | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2010-05-10 |
| 1306931209 | Jeffrey Gretz | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2006-10-04 |
| 1407899644 | Christine M Cicco-brown | Otolaryngology | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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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.