KELLY SUTTON (NPI# 1073825220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073825220 |
| Entity Type | Individual |
| Full Name | KELLY SUTTON |
| Credential | L.M.T. |
| Practice Address |
4325 Highland Park Blvd Lakeland FL 33813-1671 |
| Mailing Address |
2611 Whitewood Rd Mulberry FL 33860-5508 |
| Practice Telephone | 8636697363 |
| Practice Fax Number | 8636471793 |
| Mailing Telephone | 8636697363 |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2010-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA52881 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1740469477 | Kelly L. Sutton | Social Worker | 3176 Abbott Rd Bldg A, Abbott Corners, Orchard Park, NY 14127-1069 | 2007-10-30 |
| 1568753325 | Kelly Ann Sutton | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2011-04-28 |
| Street Address |
4325 HIGHLAND PARK BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-1671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245241553 | Charles Vickers Dc Pa | Chiropractor | 4325 Highland Park Blvd, Lakeland, FL 33813-1671 | 2006-08-11 |
| 1861950008 | Lakeland Allergy Asthma & Immunology | Allergy & Immunology | 4325 Highland Park Blvd, Lakeland, FL 33813-1671 | 2019-03-06 |
| 1043417769 | Kathryn Diana Convers | Allergy & Immunology | 4325 Highland Park Blvd, Lakeland, FL 33813-1671 | 2007-06-27 |
| 1750392064 | Charles Robert Vickers Jr. | Chiropractor | 4325 Highland Park Blvd, Lakeland, FL 33813-1671 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1730512252 | Tampa Obstetrics, P.a. | Specialist | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1720323512 | Select Physical Therapy | Specialist | 3317 Us Highway 98 S Ste 6, Lakeland, FL 33803-8316 | 2012-12-05 |
| 1871865980 | William Riley Kendrick Jr. | Specialist | 3358 Bentbrooke Cv, Lakeland, TN 38002-5746 | 2012-02-04 |
| 1255654554 | Hai Yang | Specialist | 6838 Huntington Hills Blvd, Lakeland, FL 33810-5378 | 2010-03-01 |
| 1366688954 | Jeanne Martha Raschke | Specialist | 315 Faye Cir N, Lakeland, FL 33813-1512 | 2009-01-02 |
| 1245486869 | King Fernand | Specialist | 2240 Us Highway 92 E, Lakeland, FL 33801-2448 | 2008-08-14 |
| 1043480502 | American Care of Tampa Inc. | Specialist | 2600 Industrial Park Dr, Suite C, Lakeland, FL 33801-7135 | 2008-03-11 |
| 1962556878 | North Lakeland Pain & Trauma Inc | Specialist | 5516 Us 98 North, Lakeland, FL 33809 | 2007-01-22 |
| Find all providers in LAKELAND | ||||
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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.