KELLY TYRRELL RANGE (NPI# 1063045821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063045821 |
Entity Type | Individual |
Full Name | KELLY TYRRELL RANGE |
Credential | NP |
Practice Address |
2191 9th Ave N St Petersburg FL 33713-7146 |
Mailing Address |
10516 Silhavy Dr Largo FL 33774-5223 |
Practice Telephone | 7278218101 |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
11006219 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2191 9TH AVE N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33713-7146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619974490 | Americare Physicians Group, LLC | Internal Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2005-07-07 |
1053858563 | Melissa Roberts | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2017-01-22 |
1508117391 | Janet A Loo | Nurse Practitioner | 2191 9th Ave N, Ste 110, St Petersburg, FL 33713-7146 | 2012-09-20 |
1699052118 | Ashley Morris Wicks | Physician Assistant | 2191 9th Ave N, Suite 200, St Petersburg, FL 33713-7146 | 2011-11-11 |
1811205990 | Ralph A. Dematteis Md Pl | Surgery | 2191 9th Ave N, Suite 240, St Petersburg, FL 33713-7146 | 2010-09-22 |
1841451960 | Choice Hospital Consultants, Pa | Family Medicine | 2191 9th Ave N, Ste 105, St Petersburg, FL 33713-7146 | 2008-06-20 |
1235328998 | Christopher M Davey Md Pa | Family Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2007-10-18 |
1679761118 | Carol L Pappas Md Phd Pa | Psychiatry & Neurology | 2191 9th Ave N, #230, St Petersburg, FL 33713-7146 | 2007-10-10 |
1013102409 | Natalie Eudora Bastien | Nurse Practitioner | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2007-09-10 |
1790904480 | Barbara Lynn Joustra | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2007-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
Find all providers in zip 33713 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659750115 | Andrew Lawrence Upton | Nurse Practitioner | 250 23rd St N, St Petersburg, FL 33713-8833 | 2015-05-29 |
1992925374 | Carol Kay Torczon | Nurse Practitioner | 2328 Dartmouth Ave N, St Petersburg, FL 33713-7928 | 2007-04-26 |
1235694167 | Jonathan Ray Forcina | Nurse Practitioner | 6000 49th St N, St Petersburg, FL 33709-2145 | 2019-02-05 |
1851862577 | Amanda Bennett | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-06 |
1245730548 | Chelsea Leigh Simpson | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-02-14 |
1194223487 | Rebecca Claire Cash | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-02-01 |
1770923831 | Mary Swingle | Nurse Practitioner | 500 Dr Martin Luther King St N, #303, St Petersburg, FL 33705-1472 | 2013-07-03 |
1962747659 | Safiya A Arthur | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2012-12-06 |
1669782561 | Kelly Sue Cornacchione | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2010-10-14 |
1881908424 | Lindy Marice Fireline | Nurse Practitioner | 701 6th St S, St Petersburg, FL 33701-4814 | 2010-08-05 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33713 |
Please comment or provide details below to improve the information on KELLY TYRRELL RANGE.
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.