KAREN G KUPERBERG (NPI# 1972536530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972536530 |
Entity Type | Individual |
Full Name | KAREN G KUPERBERG |
Credential | A.R.N.P. |
Practice Address |
600 W North Blvd Suite C Leesburg FL 34748-5063 |
Practice Telephone | 3527283000 |
Practice Fax Number | 3527871165 |
Mailing Telephone | 3527283000 |
Mailing Fax Number | 3527871165 |
Enumeration Date | 2006-07-08 |
Last Update Date | 2008-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9178626 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE RR | P00352228 | 01 |
Street Address |
600 W NORTH BLVD SUITE C |
City | LEESBURG |
State | FL |
Zip Code | 34748-5063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790310480 | Brian Travis Cole | Physical Therapy Assistant | 600 W North Blvd, Leesburg, FL 34748-5063 | 2020-03-03 |
1154979367 | Sydney Mcwilliams | Speech-Language Pathologist | 600 W North Blvd, Leesburg, FL 34748-5063 | 2019-08-30 |
1023559358 | Christina Mariathasan | Physical Therapy Assistant | 600 W North Blvd, Suite D, Leesburg, FL 34748-5063 | 2017-03-20 |
1619417417 | Janet Hoff | Physical Therapy Assistant | 600 W North Blvd, Leesburg, FL 34748-5063 | 2017-02-28 |
1427597137 | Melissa Freeman | Physical Therapy Assistant | 600 W North Blvd, Leesburg, FL 34748-5063 | 2017-02-14 |
1881136299 | Laura Holz | Occupational Therapy Assistant | 600 W North Blvd, D, Leesburg, FL 34748-5063 | 2016-11-16 |
1447609961 | Sauw Liong | Occupational Therapy Assistant | 600 W North Blvd, Suite D, Leesburg, FL 34748-5063 | 2016-06-06 |
1215381819 | Jean Elizabeth Cain | Speech-Language Pathologist | 600 W North Blvd, Ste D, Leesburg, FL 34748-5063 | 2016-04-20 |
1902266471 | Stephanie Bogeajis | Occupational Therapist | 600 W North Blvd, Leesburg, FL 34748-5063 | 2016-02-26 |
1548628498 | Ashley Clark | Physical Therapy Assistant | 600 W North Blvd, Suite D, Leesburg, FL 34748-5063 | 2016-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
Find all providers in zip 34748 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801416094 | Tia Tenease Barriner | Nurse Practitioner | 1626 Sterns Dr, Leesburg, FL 34748-2019 | 2020-04-17 |
1679102818 | Heather Georgiana Pickle | Nurse Practitioner | 172 Fowler Dr, Leesburg, GA 31763-5012 | 2020-04-08 |
1952940876 | Brittany Breen | Nurse Practitioner | 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 | 2019-12-23 |
1245871128 | Shayna Johnson | Nurse Practitioner | 33825 Secret Hill Dr, Leesburg, FL 34788-3845 | 2019-10-02 |
1144785882 | Dharma Deekshita Lakshman Rao | Nurse Practitioner | 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 | 2019-02-06 |
1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
1265996516 | Monica Cherise Jenkins | Nurse Practitioner | 2113 Griffin Rd, Leesburg, FL 34748-3303 | 2019-01-30 |
1780154708 | Orlandria Michelle Bennett-reed | Nurse Practitioner | 129 Oakland Pkwy, Leesburg, GA 31763-7201 | 2018-12-03 |
1902375694 | Erica Shackelford | Nurse Practitioner | 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 | 2018-11-26 |
1851888242 | Shaneidra Hayes | Nurse Practitioner | 115 Pelham Dr, Leesburg, GA 31763-4913 | 2018-04-20 |
Find all providers in LEESBURG |
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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.