DR. KIM YVETTE WILSON (NPI# 1073532438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073532438 |
| Entity Type | Individual |
| Full Name | DR. KIM YVETTE WILSON |
| Credential | PHARMD, RPH |
| Practice Address |
3800 Fletcher Ave Suite 133 Tampa FL 33613 |
| Mailing Address |
10117 Palermo Cir Apartment 203 Tampa FL 33619-5080 |
| Practice Telephone | 8139756500 |
| Mailing Telephone | 8136203765 |
| Mailing Fax Number | 8136203765 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 03-01-24593 | OH | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS 45552 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725365 | Kim Marie Wilson | Registered Nurse | 211 201st Ave Ne, Snohomish, WA 98290-9613 | 2018-06-30 |
| 1639583669 | Kim Wilson | Home Health | 136 Field Pine Ave, Hopkins, SC 29061-9501 | 2014-06-18 |
| 1134169311 | Kim Dittis Wilson | Nurse Practitioner | 900 E Michigan Ave Ste 105, Jackson, MI 49201-2490 | 2006-06-07 |
| 1033584966 | Kim Wilson | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2015-12-03 |
| 1073982245 | Kim Wilson | Physician Assistant | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2015-09-17 |
| 1134398126 | Kim Yung Wilson | Occupational Therapist | 14701 Cecil Dr, Little Rock, AR 72223-1913 | 2008-02-25 |
| 1639383474 | Kim Marie Wilson | Nurse Practitioner | 3400 Spruce St, 4 Dulles Building, Philadelphia, PA 19104-4206 | 2007-05-10 |
| 1821215781 | Kim Badell Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| 1124194006 | Kim A Wilson | Pediatrics | 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 | 2006-11-24 |
| 1457468928 | Kim Wilson | Radiology | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-08-23 |
| Street Address |
3800 FLETCHER AVE SUITE 133 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487284097 | Africa Barnes | Pharmacist | 20011 Tamiami Ave, Tampa, FL 33647-3368 | 2020-01-22 |
| 1063066215 | Angela Janei Perry | Pharmacist | 20544 Grand Vista Ln, Tampa, FL 33647-3456 | 2019-07-26 |
| 1821403858 | Andrew Taylor Reed | Pharmacist | 3401 N Lakeview Dr Apt 1608, Tampa, FL 33618-1362 | 2014-06-28 |
| 1093005142 | Linda Loetell | Pharmacist | 128 W Davis Blvd, Tampa, FL 33606-3540 | 2011-04-11 |
| 1568794402 | Stephen George | Pharmacist | 6285 East Fowler Ave, Tampa, FL 33617-3304 | 2010-02-03 |
| 1346407541 | Dianne M Tharp | Pharmacist | 5100 W Lemon St, Suite 311, Tampa, FL 33609-1111 | 2008-05-16 |
| 1932715984 | Aaron Alicea | Pharmacist | 8424 Sheldon Rd, Tampa, FL 33615-1606 | 2020-09-16 |
| 1861005423 | Danny Phuong Nguyen | Pharmacist | 8398 Sheldon Rd, Tampa, FL 33615-1609 | 2020-08-24 |
| 1255960837 | Gemma Fong | Pharmacist | 8603 Florida Mining Blvd, Tampa, FL 33634 | 2020-04-06 |
| 1225541105 | Pamela Quyen Smith | Pharmacist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-11-14 |
| Find all providers in TAMPA | ||||
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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.