KIMBERLY ANNE CHANNELS


Address: 15320 Amberly Dr, Suite, A, Tampa, FL 33647-1647
Phone: 8139770733

KIMBERLY ANNE CHANNELS (NPI# 1053443796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053443796
Entity Type Individual
Full Name KIMBERLY ANNE CHANNELS
Credential PA
Practice Address 15320 Amberly Dr
Suite, A
Tampa
FL 33647-1647
Mailing Address 15320 Amberly Dr
Ste A
Tampa
FL 33647-1647
Practice Telephone 8139770733
Practice Fax Number 8139712230
Mailing Telephone 8139772090
Mailing Fax Number 8139779107
Enumeration Date 2007-03-09
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA 3270 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PHYSICIAN ASSISTANT ID PA LICENSE PA 3270 01

Office Location

Street Address 15320 AMBERLY DR
SUITE, A
City TAMPA
State FL
Zip Code 33647-1647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184681355 Gms Florida West Coast Inc Internal Medicine 15320 Amberly Dr, Suite B, Tampa, FL 33647-1647 2006-04-29
1881077543 Emily Horn Family Medicine 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 2015-06-30
1285037960 Cory Dowell Nurse Practitioner 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 2014-10-08
1407126394 Leilani Phelan Physician Assistant 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 2012-01-09
1225096597 Mark S Weissman Internal Medicine 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 2006-05-03
1376501031 Martha P Ford Family Medicine 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558972935 Innovative Healthcare of Florida, Inc. Home Health 8903 Bruce B Downs Blvd, Tampa, FL 33647 2020-08-11
1093331498 Envision In-home Companion Svcs Home Health 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 2020-06-22
1538788344 Deanna Rene Shelpman Massage Therapist 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 2020-04-11
1316598998 Paramount Health Group LLC In Home Supportive Care 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 2019-09-24
1174185656 S&k Management Services Clinical Nurse Specialist 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 2019-07-03
1760040133 Calisia Sapp Clinic/Center 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 2019-05-31
1306400106 B2b Apps Solutions, LLC Durable Medical Equipment & Medical Supplies 17931 Cachet Isle Drive, Tampa, FL 33647 2019-04-26
1376000919 Florida Homecare Specialists Minority Corp Home Health 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 2019-03-01
1982188157 Dynamic Support Solutions, LLC Home Health 8606 Baneberry Ct, Tampa, FL 33647 2018-09-24
1982197430 Erika Mendoza-hutto Nurse Practitioner 20713 Center Oak Dr, Tampa, FL 33647 2018-06-10
Find all providers in zip 33647

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356941504 Kelsey Alexandra Leon Physician Assistant 5033 W Laurel St, Tampa, FL 33607-3855 2020-10-27
1144839796 Alana Marie Arcese Physician Assistant 10401 Villa View Cir, Tampa, FL 33647-2598 2020-07-29
1437768512 Jessica Lynn Flores-mcgrath Physician Assistant 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 2020-07-24
1417574104 Hunter Vila Physician Assistant 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 2020-06-29
1003432360 Jennifer Rose Baker Koebert Physician Assistant 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 2020-06-23
1487277109 Victoria Mahi Verzwyvelt Physician Assistant 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 2020-05-28
1538780853 Lexy Hazle Physician Assistant 2715 W Mississippi Ave, Tampa, FL 33629-6131 2020-04-27
1619509494 Amy Sullinger Physician Assistant 207 S Occident St, Tampa, FL 33609-2526 2020-02-10
1225668122 Michelle Korthauer Physician Assistant 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 2020-01-20
1992344360 Marisa Ehrlich Berger Physician Assistant 311 W Idlewild Ave, Tampa, FL 33604-6656 2020-01-02
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33647

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Dataset Information

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.

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