KELLY TYRRELL RANGE


Address: 2191 9th Ave N, St Petersburg, FL 33713-7146
Phone: 7278218101

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2191 9TH AVE N
City ST PETERSBURG
State FL
Zip Code 33713-7146

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ST PETERSBURG
Zip Code 33713

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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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