MRS. CAROL KREIDER (NPI# 1063924769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063924769 |
| Entity Type | Individual |
| Full Name | MRS. CAROL KREIDER |
| Credential | APRN |
| Practice Address |
1100 N Parrott Ave # 2129 Okeechobee FL 34972-2129 |
| Practice Telephone | 8637631951 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 342404 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9229880 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Elm St, Hornell, NY 148431933 | 6075902424 |
| Street Address |
1100 N PARROTT AVE # 2129 |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528037 | Mariah Danielle Wagoner | Nurse Practitioner | 1713 Us Highway 441 N Ste A, Okeechobee, FL 34972-1900 | 2020-01-27 |
| 1174983605 | Amanda Day Curtis | Nurse Practitioner | 2257 Us Highway 441 N Ste A, Okeechobee, FL 34972-1943 | 2016-02-25 |
| 1093061319 | Nancy Lynn Saunders | Nurse Practitioner | 1713 Us Highway 441 N, Suite D, Okeechobee, FL 34972-1900 | 2012-07-24 |
| 1922272459 | Kerri Marie Varney | Nurse Practitioner | 1796 Us Highway 441 N, Okeechobee, FL 34972-1918 | 2008-04-16 |
| 1285754119 | Melanie Virginie Mello | Nurse Practitioner | 17201 Civic St., Okeechobee, FL 34974 | 2007-04-02 |
| 1215577887 | Rachel Fairchild | Nurse Practitioner | 305 Ne Park St, Okeechobee, FL 34972-2900 | 2020-01-13 |
| 1053965764 | Kyla Danielle Hargraves | Nurse Practitioner | 204 Se Park St, Okeechobee, FL 34972-2967 | 2019-07-31 |
| 1912485103 | Amanda Kaster | Nurse Practitioner | 305 Ne Park St, Okeechobee, FL 34972 | 2018-07-31 |
| 1548784986 | Jane Clarissa Powell | Nurse Practitioner | 2257 Us Highway 441 N Ste A, Okeechobee, FL 34972-1943 | 2017-07-27 |
| 1053859454 | Audreylyn Waldo | Nurse Practitioner | 1713 Hwy 441 North, Suite C, Okeechobee, FL 34972 | 2017-02-06 |
| Find all providers in OKEECHOBEE | ||||
| City | OKEECHOBEE |
| Zip Code | 34972 |
Please comment or provide details below to improve the information on MRS. CAROL KREIDER.
| 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.