COLLETTE JOAN KERN (NPI# 1891344099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891344099 |
| Entity Type | Individual |
| Full Name | COLLETTE JOAN KERN |
| Practice Address |
16920 Crawley Rd Odessa FL 33556-2020 |
| Practice Telephone | 4126087815 |
| Mailing Telephone | 4126087815 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
16920 CRAWLEY RD |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1366090706 | Julie Elgeti | Technician | 12223 Clay Bird Dr, Odessa, FL 33556-2253 | 2019-08-29 |
| 1447808969 | Vanessa Rodriguez | Technician | 16932 Crawley Rd, Odessa, FL 33556-2020 | 2019-08-28 |
| 1932757499 | Karen Dezik | Technician | 15235 Wind Whisper Dr, Odessa, FL 33556-1832 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| 1730712555 | Rashel L Haddix | Technician | 2009 Long Round Bay Rd, Bonifay, FL 32425-7135 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.