KIMBERLY PRINCESS RADER (NPI# 1083834907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083834907 |
| Entity Type | Individual |
| Full Name | KIMBERLY PRINCESS RADER |
| Credential | LPN |
| Practice Address |
37944 Church Ave Dade City FL 33525 |
| Mailing Address |
Po Box 232 Dade City FL 33526 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525675193 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525675193 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN1059411 | FL | Nursing Service Providers |
| Street Address |
37944 CHURCH AVE |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376516096 | Clarence Mcnair | Dentist | 37944 Church Ave, Dade City, FL 33525 | 2006-02-13 |
| 1255602660 | Jacqueline Evans | Dental Hygienist | 37944 Church Ave, Dade City, FL 33525-4207 | 2012-01-17 |
| 1528349123 | John S Woodyard | Physician Assistant | 37944 Church Ave, Dade City, FL 33525-4207 | 2011-09-09 |
| 1235251398 | Jennifer Lynn Cowherd | Nurse Practitioner | 37944 Church Ave, Dade City, FL 33525 | 2007-04-06 |
| 1790806990 | Sheryl Ronna Baum | Registered Nurse | 37944 Church Ave, Premier Community Health Group, Dade City, FL 33525 | 2007-04-03 |
| 1073656351 | Patricia Diamond Anderson | Licensed Practical Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-15 |
| 1871636159 | Norma D Bruce | Registered Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-15 |
| 1326180753 | Misti Lee Strickland | Registered Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-13 |
| 1487616439 | Rosario Bala | Pediatrics | 37944 Church Ave, Dade City, FL 33525 | 2006-04-05 |
| 1386613578 | Edith Moore | Dentist | 37944 Church Ave, Dade City, FL 33525 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073656351 | Patricia Diamond Anderson | Licensed Practical Nurse | 37944 Church Ave, Dade City, FL 33525 | 2007-02-15 |
| 1023150455 | Diane Lynn Davenport | Licensed Practical Nurse | 10605 Us Hwy 301, Dade City, FL 33525 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962175 | Talor Meigs | Licensed Practical Nurse | 870 Mande Ct, Shalimar, FL 32579-2303 | 2020-11-02 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1841898657 | Tamesha L Montgomery | Licensed Practical Nurse | 112 Stock Ave, Interlachen, FL 32148-5095 | 2020-10-14 |
| 1346857299 | Ieshia Nesbitt | Licensed Practical Nurse | 9633 Ne 2nd Dr, Wildwood, FL 34785-8440 | 2020-09-24 |
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1366057796 | Djuana M Carter | Licensed Practical Nurse | 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 | 2020-09-11 |
| 1881208130 | Myra Louise Peoples | Licensed Practical Nurse | 4473 Se Village Rd, Stuart, FL 34997-8234 | 2020-09-03 |
| 1417560731 | Melanie Reyes | Licensed Practical Nurse | 968 Allendale Rd, West Palm Beach, FL 33405-1346 | 2020-08-26 |
| 1003429788 | Meline St Pierre | Licensed Practical Nurse | 6607 Willow Street, Zellwood, FL 32798 | 2020-08-24 |
| 1427669134 | Phedia Jean Baptiste | Licensed Practical Nurse | 4709 Nw 9th Dr, Plantation, FL 33317-1482 | 2020-08-14 |
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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.