MRS. L SHULTIS KIERNAN (NPI# 1174611719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174611719 |
| Entity Type | Individual |
| Full Name | MRS. L SHULTIS KIERNAN |
| Credential | OTR |
| Practice Address |
3401 Pga Blvd 500b Palm Beach Gardens FL 33410 |
| Mailing Address |
Po Box 31833 Palm Beach Gardens FL 33420-1833 |
| Practice Telephone | 5613660065 |
| Practice Fax Number | 5613660078 |
| Mailing Telephone | 5613660065 |
| Mailing Fax Number | 5613660078 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT674 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 890472300 | 05 | |
| FL | BLUE CROSS/ BLUE SHIELD | Z1322 | 01 |
| Street Address |
3401 PGA BLVD 500B |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719912 | Michael J Federman | Internal Medicine | 3401 Pga Blvd, Suite 400, Palm Beach Gardens, FL 33410-2823 | 2005-12-06 |
| 1801442835 | Guidewell Sanitas I, LLC | Clinic/Center | 3401 Pga Blvd, Palm Beach Gardens, FL 33410-2823 | 2019-08-15 |
| 1205305778 | Debbie Andrea Saiovici | Nurse Practitioner | 3401 Pga Blvd, Palm Beach Gardens, FL 33410-2823 | 2018-11-14 |
| 1649780990 | Frantzie Michel | Nurse Practitioner | 3401 Pga Blvd, Ste #300, Palm Beach Gardens, FL 33410 | 2017-10-01 |
| 1861946279 | Marilyn Barnett | Nurse Practitioner | 3401 Pga Blvd, Suite #300, Palm Beach Gardens, FL 33410 | 2016-08-15 |
| 1780036632 | Interventional Pain Clinics LLC | Anesthesiology | 3401 Pga Blvd, Suite 225, Palm Beach Gardens, FL 33410-2823 | 2016-07-04 |
| 1801271994 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 3401 Pga Blvd, Suite 320, Palm Beach Gardens, FL 33410-2823 | 2015-07-30 |
| 1326461617 | Briannon Bebble | Physician Assistant | 3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 33410-2825 | 2014-01-23 |
| 1407286164 | Tara Jacobs | Nurse Practitioner | 3401 Pga Blvd, Suite 310, Palm Beach Gardens, FL 33410-2823 | 2013-11-17 |
| 1881937829 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 3401 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33410-2823 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1730530163 | Mollie A Clark | Specialist | 4400 Munson Ct Apt 205, Palm Beach Gardens, FL 33410-6771 | 2016-06-27 |
| 1730426644 | Melvyn Ivan Dinner | Specialist | 2523 Marseille Dr, Palm Beach Gardens, FL 33410-1280 | 2013-01-11 |
| 1457627499 | Efrain R Casas | Specialist | 107 Palm Bay Dr Apt C, Palm Beach Gardens, FL 33418-5780 | 2012-03-23 |
| 1922302496 | Ruby J Veress | Specialist | 9142 W Highland Pines Dr, Palm Beach Gardens, FL 33418-5755 | 2010-12-27 |
| 1477710002 | Evelyn Velasco Dick | Specialist | 3944 Florida Blvd, Palm Beach Gardens, FL 33410-2271 | 2008-05-21 |
| 1720148679 | Orlando Chiang | Specialist | 20 Porta Vista Cir, Palm Beach Gardens, FL 33418-5802 | 2006-12-11 |
| 1982703872 | Howard Routman | Specialist | 900 Village Square Xing Ste 170, Palm Beach Gardens, FL 33410-4549 | 2006-09-21 |
| 1275557746 | Gabico Services Inc | Specialist | 3300 Pga Blvd, Suite 310, Palm Beach Gardens, FL 33410-2821 | 2006-07-27 |
| 1346279759 | Kenneth Amsler | Specialist | 3318 Pine Hill Trl, Palm Beach Gardens, FL 33418-3502 | 2006-06-30 |
| 1811932817 | Nancy Lynn Thornton | Specialist | 2700 Pga Blvd, Suite 106, Palm Beach Gardens, FL 33410-2958 | 2006-06-17 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on MRS. L SHULTIS KIERNAN.
| 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.