MRS. DIANE ROSE BRONKEMA (NPI# 1205434867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205434867 |
| Entity Type | Individual |
| Full Name | MRS. DIANE ROSE BRONKEMA |
| Credential | ROT |
| Practice Address |
625 6th Ave S Ste 450 St Petersburg FL 33701-4629 |
| Practice Telephone | 7278982663 |
| Mailing Telephone | 7278982663 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
625 6TH AVE S STE 450 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457511685 | Sheila Faye Zimmardi | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2008-06-11 |
| 1760045272 | Savannah Kelly Poor | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-04-19 |
| 1588138499 | Chandler Melton | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-01-14 |
| 1699240549 | Hilary Margaret Kupstas | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2018-10-08 |
| 1265932099 | Jessica Janelle Bryk | Nurse Practitioner | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2018-02-19 |
| 1649700402 | Mohamed Fikry | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2017-06-14 |
| 1881078905 | Rachele Mehl | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2015-07-18 |
| 1265794473 | Raena Marie Steffen | Specialist/Technologist | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2012-06-13 |
| 1659647550 | Thomas Cooper Wilson | Orthopaedic Surgery | 625 6th Ave S Ste 450, St Petersburg, FL 33701 | 2012-03-26 |
| 1215227293 | Daniel C Bland | Orthopaedic Surgery | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556368 | Jacob Sidney Alexander | Student in an Organized Health Care Education/Training Program | 1663 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-07-27 |
| 1437647641 | Eric William Yuschak | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N Ste 400, St Petersburg, FL 33710-1629 | 2018-04-24 |
| 1164929774 | Omid Roostaeyan | Student in an Organized Health Care Education/Training Program | 700 6th St S Bay Bayfront, St Petersburg, FL 33701-4815 | 2018-04-10 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1083146468 | Tyler Wellman | Student in an Organized Health Care Education/Training Program | 1078 Paseo Del Rio Ne, St Petersburg, FL 33702-1457 | 2017-04-03 |
| 1326592239 | Van Le Nguyen | Student in an Organized Health Care Education/Training Program | 8001 Elbow Ln N, St Petersburg, FL 33710-4323 | 2016-08-09 |
| 1972967453 | Travis Alexander Williams | Student in an Organized Health Care Education/Training Program | 625 13th Ave Ne, St Petersburg, FL 33701-1310 | 2016-04-11 |
| 1437512969 | Weston Wall | Student in an Organized Health Care Education/Training Program | 4655 Waterford Ct Ne, St Petersburg, FL 33703-4948 | 2016-04-01 |
| 1598102329 | Bridget Narvaez | Student in an Organized Health Care Education/Training Program | 2075 Lakewood Club Dr S, Apt. A, St Petersburg, FL 33712-4978 | 2013-06-03 |
| 1114525771 | John Daniel Hoch | Student in an Organized Health Care Education/Training Program | 625 6th Ave S, St Petersburg, FL 33701-4662 | 2020-10-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on MRS. DIANE ROSE BRONKEMA.
| 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.