KELLY JEAN DINAPOLI


Address: 1514 1st St N, Winter Haven, FL 33881-2476
Phone: 8632924280

KELLY JEAN DINAPOLI (NPI# 1174520118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174520118
Entity Type Individual
Full Name KELLY JEAN DINAPOLI
Other Name KELLY JEAN MAAS
Credential ARNP, CNM
Practice Address 1514 1st St N
Winter Haven
FL 33881-2476
Mailing Address 950 County Road 17a W
Avon Park
FL 33825-2164
Practice Telephone 8632924280
Practice Fax Number 8632924293
Mailing Telephone 8634523060
Mailing Fax Number 8634523069
Enumeration Date 2005-07-06
Last Update Date 2016-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP2899262 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 008605700 05

Office Location

Street Address 1514 1ST ST N
City WINTER HAVEN
State FL
Zip Code 33881-2476

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NPI Name Taxonomy Address Enumeration
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1053882290 Dominiqua Lint Nurse Practitioner 1514 1st St N, Winter Haven, FL 33881-2476 2018-12-16
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1518455633 Yamira Bordas Nurse Practitioner 1514 1st St N, Winter Haven, FL 33881-2476 2018-04-24
1396261277 Khalid Aldorri Dentist 1514 1st St N, Winter Haven, FL 33881-2476 2017-08-22
1932659414 Tiffany Lee Garner Nurse Practitioner 1514 1st St N, Winter Haven, FL 33881-2476 2016-10-10
1336591577 Anjelika Marti Bagdasarov Dentist 1514 1st St N, Winter Haven, FL 33881-2476 2016-07-12
1972951390 Ronald Dennis Lund Dietitian, Registered 1514 1st St N, Winter Haven, FL 33881-2476 2016-05-26
1861861973 Lisa Holcomb Nurse Practitioner 1514 1st St N, Winter Haven, FL 33881-2476 2015-09-18
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Providers in the same zip code

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1114534476 Ctc's Heart of Caring, Inc In Home Supportive Care 2995 Eagle Nest View Drive, Winter Haven, FL 33881 2020-09-29
1356813869 Michael Thomas Wiernicki Dentist 1074 Spring Lake Plaza, Winter Haven, FL 33881 2018-12-21
1659862423 Patricia Pelt Social Worker 3073 Buckeye Point Dr, Winter Haven, FL 33881 2018-05-28
1952891244 Ansley Health LLC Home Health 1502 6th Ct Ne, Winter Haven, FL 33881 2018-05-14
1346699261 Yovanka Zapata Specialist/Technologist, Other 5856 Windrigde Dr., Winter Haven, FL 33881 2016-06-10
1720415599 Villa Pharmacy LLC Pharmacy 105 Avenue R Nw, Winter Haven, FL 33881 2013-10-10
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1780938225 Penelope Sturdevant Nurse Practitioner 2791 Lake Alfred Rd., Winter Haven, FL 33881 2012-11-06
1649548165 Tim R Acree Non-emergency Medical Transport (VAN) 2 Eagles Nest, Winter Haven, FL 33881 2011-12-12
1285899419 Adjustment and Awareness Counseling Community/Behavioral Health 243 3rd St Nw, Winter Haven, FL 33881 2008-07-28
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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1487032967 Doris Washington Tucker Nurse Practitioner 15013 Sw 110th Ter, Miami, FL 33196-2599 2015-05-15
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Competitor

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City WINTER HAVEN
Zip Code 33881

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Dataset Information

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.

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