MR. IVAN KIRK II (NPI# 1801077318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801077318 |
| Entity Type | Individual |
| Full Name | MR. IVAN KIRK II |
| Credential | LPN |
| Practice Address |
1604 Fluorshire Dr Brandon FL 33511-9393 |
| Practice Telephone | 8137464619 |
| Mailing Telephone | 8137464619 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 5179474 | FL | Nursing Service Providers |
| Street Address |
1604 FLUORSHIRE DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057796 | Djuana M Carter | Licensed Practical Nurse | 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 | 2020-09-11 |
| 1669094637 | Crystal Taylor | Licensed Practical Nurse | 1315 Oakfied Dr #101, Brandon, FL 33509-3350 | 2020-05-13 |
| 1003450321 | Donna Robinson | Licensed Practical Nurse | 70203 Royal Ct, Brandon, MS 39042-2930 | 2019-10-30 |
| 1487212585 | Lesia Denise Gipson | Licensed Practical Nurse | 375a Love Cv, Brandon, MS 39042-8320 | 2019-06-03 |
| 1639685639 | Kimberly Nicole Taylor | Licensed Practical Nurse | 635 Hampshire Dr, Brandon, MS 39047-7797 | 2017-12-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1700191764 | Tomika Danielle Buckner | Licensed Practical Nurse | 515 Pine Ln, Brandon, FL 33511-7816 | 2010-08-15 |
| 1225186372 | Margie Dianne Bradshaw | Licensed Practical Nurse | 823 Jeff Goodwin St, Brandon, MS 39042-8763 | 2007-01-08 |
| 1982075479 | Makeba White | Licensed Practical Nurse | 208 Boxwood Cir, Brandon, MS 39047-8006 | 2015-10-09 |
| 1194140566 | Meloine Bessette | Licensed Practical Nurse | 619 Princeton St, Brandon, FL 33511-7129 | 2014-02-21 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on MR. IVAN KIRK II.
| 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.