MISS KIMBERLY KAY VANDER HEUVEL (NPI# 1780607309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780607309 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY KAY VANDER HEUVEL |
| Credential | ARNP-BC, MS |
| Practice Address |
6006 49th St N Suite 200 St Petersburg FL 33709-2148 |
| Mailing Address |
13328 2nd St E Madeira Beach FL 33708-2410 |
| Practice Telephone | 7274902100 |
| Practice Fax Number | 7275447389 |
| Mailing Telephone | 7273971544 |
| Mailing Fax Number | 7273971544 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP2069762 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE # | CK492Z | 01 |
| Street Address |
6006 49TH ST N SUITE 200 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093220 | Cardiac Surgical Associates LLP | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6006 49th St N, Ste 310, St Petersburg, FL 33709-2149 | 2005-06-14 |
| 1093358244 | Silverrock Health | Case Management | 6006 49th St N, St Petersburg, FL 33709-2148 | 2019-10-21 |
| 1508245911 | Joshua Leek | Physician Assistant | 6006 49th St N, Suite 310, St Petersburg, FL 33709-2148 | 2015-05-19 |
| 1124469770 | Complete Primary Care Inc | Internal Medicine | 6006 49th St N, Suite 120, St Petersburg, FL 33709-2148 | 2013-07-11 |
| 1992959399 | Jonathan S Hall Md Pa | Neurological Surgery | 6006 49th St N, Suite 330, St Petersburg, FL 33709-2148 | 2008-11-12 |
| 1215184619 | Judith Ann Moran | Nurse Practitioner | 6006 49th St N, Suite 340, St Petersburg, FL 33709-2148 | 2008-08-27 |
| 1215198619 | Nabeel Memon | Internal Medicine | 6006 49th St N, Suite 200, St Petersburg, FL 33709-2148 | 2008-06-19 |
| 1841467149 | Muriel Elias Herring | Physician Assistant | 6006 49th St N, Suite 310, St Petersburg, FL 33709-2148 | 2008-05-15 |
| 1548471642 | Jeanette Dawn Lilly | Physical Therapist | 6006 49th St N, Suite 240, St Petersburg, FL 33709-2148 | 2007-05-24 |
| 1275749368 | Beth Ann Bazer Hudson | Occupational Therapist | 6006 49th St N, St Petersburg, FL 33709-2148 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659750115 | Andrew Lawrence Upton | Nurse Practitioner | 250 23rd St N, St Petersburg, FL 33713-8833 | 2015-05-29 |
| 1992925374 | Carol Kay Torczon | Nurse Practitioner | 2328 Dartmouth Ave N, St Petersburg, FL 33713-7928 | 2007-04-26 |
| 1063045821 | Kelly Tyrrell Range | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2020-02-19 |
| 1235694167 | Jonathan Ray Forcina | Nurse Practitioner | 6000 49th St N, St Petersburg, FL 33709-2145 | 2019-02-05 |
| 1851862577 | Amanda Bennett | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-06 |
| 1245730548 | Chelsea Leigh Simpson | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-02-14 |
| 1194223487 | Rebecca Claire Cash | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-02-01 |
| 1770923831 | Mary Swingle | Nurse Practitioner | 500 Dr Martin Luther King St N, #303, St Petersburg, FL 33705-1472 | 2013-07-03 |
| 1962747659 | Safiya A Arthur | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2012-12-06 |
| 1669782561 | Kelly Sue Cornacchione | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2010-10-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on MISS KIMBERLY KAY VANDER HEUVEL.
| 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.