KURT PHILLIP MICKELSON (NPI# 1881782332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881782332 |
| Entity Type | Individual |
| Full Name | KURT PHILLIP MICKELSON |
| Practice Address |
15100 Rescue Way Clearwater FL 33762 |
| Mailing Address |
155 Largs Ct # 2-207 Dunedin FL 34698-8387 |
| Practice Telephone | 7275351437 |
| Practice Fax Number | 7275354190 |
| Mailing Telephone | 8083759232 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
15100 RESCUE WAY |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841276433 | Esan Odell Simon | Family Medicine | 15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic, Clearwater, FL 33762-3502 | 2005-12-16 |
| 1063819621 | Daniel Coleman | Emergency Medical Technician, Basic | 15100 Rescue Way, Clearwater, FL 33762-3502 | 2014-11-25 |
| 1467629980 | Kristine Joy Distor | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762-3502 | 2008-05-14 |
| 1326215724 | Kenneth Edward Kopitzke | Military Health Care Provider | 15100 Rescue Way, Uscg Air Station Clearwater Clinic, Clearwater, FL 33762 | 2008-05-14 |
| 1134396914 | Maryellen Tilly | Dental Hygienist | 15100 Rescue Way, Dental, Clearwater, FL 33762-3502 | 2008-05-12 |
| 1184767006 | Amber Lynn Barrick | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-14 |
| 1326180308 | Vivian Linette Pares | Dental Hygienist | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-13 |
| 1265572986 | Teresa Davis | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-08 |
| 1659411700 | Angela Karcinski | Physician Assistant | 15100 Rescue Way, Us Coast Guard Airsta Clearwater, Clearwater, FL 33762-3502 | 2007-02-07 |
| 1306986393 | Uscg Personal Service Center | Health Maintenance Organization | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1134756869 | Pinellas County Sheriff's Office | Clinic/Center | Pinellas County Jail, 14400 49th Street North, Clearwater, FL 33762 | 2020-03-24 |
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1013401108 | Franz Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 307, Clearwater, FL 33762 | 2018-06-21 |
| 1023502184 | Clearwater Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 312, Clearwater, FL 33762 | 2018-06-21 |
| 1861803850 | Pinellas 1 Home Health Corp | Home Health | 4707 140th Avenue North Ste 106a, Clearwater, FL 33762 | 2014-05-13 |
| 1093065633 | Fast360 LLC | Transportation Broker | 10200 49th St N Ste 100, Clearwater, FL 33762 | 2012-09-11 |
| 1316253867 | Sophia Zavrou | Psychologist | 2325 Ulmerton Rd Ste 7g, Clearwater, FL 33762 | 2010-08-22 |
| 1356671275 | Suncoast Medicare Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4552b 107th Circle N, Clearwater, FL 33762 | 2009-12-29 |
| 1407006042 | Cynthia Rena' Williams | Physical Therapist | 13535 Feather Sound Dr., Suite 135, Clearwater, FL 33762 | 2008-09-19 |
| Find all providers in zip 33762 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366585283 | William Robert Rodgers | Technician, Other | Uscg Air Station Clearwater, 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-14 |
| 1518330893 | Steven R Carpenter | Technician, Other | 17757 Us Highway 19 N, Clearwater, FL 33764-6560 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33762 |
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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.