MRS. KIMBERLY BETH SIDERS (NPI# 1104905751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104905751 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY BETH SIDERS |
| Credential | PA-C |
| Practice Address |
15310 Amberly Dr Suite 150 Tampa FL 33647-2199 |
| Mailing Address |
15051 S Tamiami Trl Suite 203 Fort Myers FL 33908-5182 |
| Practice Telephone | 8139788888 |
| Practice Fax Number | 8139728974 |
| Mailing Telephone | 2394378810 |
| Mailing Fax Number | 2393132555 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9103918 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15310 AMBERLY DR SUITE 150 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891936 | Ruth Hanno Md Pa | Specialist | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2006-02-23 |
| 1053821819 | Bay Area Mediations | Counselor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2017-10-06 |
| 1831557487 | Xiomara N Alvarez-salamo | Social Worker | 15310 Amberly Dr, Tampa, FL 33647-2199 | 2016-02-10 |
| 1144637364 | Integrated Dermatology of Tampa, LLC | Physician Assistant | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2014-07-21 |
| 1033438742 | Salma Z Pothiawala | Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2010-05-19 |
| 1295916872 | Iraida V Carrion | Social Worker | 15310 Amberly Dr, Tampa, FL 33647-2199 | 2007-11-23 |
| 1699962225 | A/r Docs, Inc. | Contractor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2007-09-27 |
| 1487868337 | Theodore J Grellner | Dentist | 15310 Amberly Dr, Suite 195, Tampa, FL 33647-2199 | 2007-05-10 |
| 1760607287 | Lawrence J. Posner | Dentist | 15310 Amberly Dr, Ste 155, Tampa, FL 33647-2199 | 2007-04-17 |
| 1245353317 | Maria L. Estes | Counselor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| 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.