MRS. KATHLEEN YOUNG HARRELL (NPI# 1043295090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043295090 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN YOUNG HARRELL |
| Credential | ARNP |
| Practice Address |
17121 Rainbow Terrace Odessa FL 33556 |
| Practice Telephone | 8137496707 |
| Practice Fax Number | 8134754831 |
| Mailing Telephone | 8137496907 |
| Mailing Fax Number | 8134754831 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2826532 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2826532 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 302647700 | 05 |
| Street Address |
17121 RAINBOW TERRACE |
| City | ODESSA |
| State | FL |
| Zip Code | 33556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032377 | Junie Tilus | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556-2107 | 2018-02-05 |
| 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 |
| 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 |
| 1013434398 | Simeon Shepard | Specialist/Technologist, Other | 13238 Royal George Ave, Odessa, FL 33556 | 2017-08-28 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856275 | Alexis Parker | Nurse Practitioner | 15625 Hawks Crest Loop, Odessa, FL 33556-1701 | 2020-09-16 |
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1356778195 | Wellness & Injury Medical Center | Nurse Practitioner | 4682 E University Blvd, Suite A, Odessa, TX 79762-8178 | 2013-10-10 |
| 1477853943 | Michelle K Fletes | Nurse Practitioner | 7101 Eastridge Rd, Odessa, TX 79765-8919 | 2010-10-29 |
| 1396850871 | Lee M Macmurdo IIi | Nurse Practitioner | 410 N Hancock Ave, Odessa, TX 79761-5140 | 2006-08-21 |
| 1629059852 | Glori Elizebeth Ferguson | Nurse Practitioner | 1427 Idlewood Ln, Odessa, TX 79761-3427 | 2005-11-05 |
| 1053315309 | Violet Frances Rice | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2005-06-01 |
| 1336756030 | Veronica Garcia | Nurse Practitioner | 540 W 5th St, Odessa, TX 79761-5034 | 2020-09-26 |
| 1871138735 | Emily A Jones | Nurse Practitioner | 519 N Lincoln Ave, Odessa, TX 79761-4429 | 2019-11-14 |
| Find all providers in ODESSA | ||||
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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.