KYLE NIELSEN


Address: 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521
Phone: 6235563784

KYLE NIELSEN (NPI# 1205490372) 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) 1205490372
Entity Type Individual
Full Name KYLE NIELSEN
Credential DO
Practice Address 1800 Se Tiffany Ave
Port St Lucie
FL 34952-7521
Mailing Address 13657 W Remuda Dr
Peoria
AZ 85383-8306
Practice Telephone 6235563784
Mailing Telephone 6235563784
Enumeration Date 2019-04-24
Last Update Date 2020-03-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 390200000X Student in an Organized Health Care Education/Training Program FL Student, Health Care
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KYLE NIELSEN

NPI Name Taxonomy Address Enumeration
1912384637 Kyle Earl Nielsen Emergency Medicine 2292 N 1430 E, Provo, UT 84604 2015-05-01
1306269253 Kyle Nielsen Pharmacist 6783 Ne Vinings Way, Apartment 1123, Hillsboro, OR 97124-7814 2014-01-29

Office Location

Street Address 1800 SE TIFFANY AVE
City PORT ST LUCIE
State FL
Zip Code 34952-7521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929031 James Michael D'amato Anesthesiology 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2005-08-11
1578173035 Geily Joanna Ward Pharmacist 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-08-08
1740809433 Kenoviah Heron Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-04-13
1659990760 Jonathan C. Nilson Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-04-09
1538796081 Brendan Lawrence Mahoney Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-03-25
1326675968 Alec Colby Underhill Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-03-24
1134689987 Chase Hemphill Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-20
1427517432 Morgan Macintyre Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-19
1346709391 Nicole Tobin Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-19
1255890158 Darnelle Ramirez Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215587068 Carehere LLC Family Medicine Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 2019-09-13
1255998274 Morningside Alf Assisted Living Facility 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 2019-05-24
1336611870 Med Braces and Supplies, LLC Durable Medical Equipment & Medical Supplies 1484 Se Village Green Dr, Port St Lucie, FL 34952 2018-12-21
1689143794 The Gift of Recovery, LLC Counselor 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 2018-11-19
1457830853 Cathy L Sonier Counselor 357 Brazilian Circle, Port St Lucie, FL 34952 2018-08-07
1548756661 Blo 7 Diabetes Institute Inc Nutritionist 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 2018-07-02
1780194464 Doctor's Choice Medical Center Clinic/Center 9164 S Us Highway 1, Port St Lucie, FL 34952 2017-10-06
1801305644 Thandiwe Daley Behavior Technician 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 2017-09-25
1700309408 Lagrand Evan Andrews Assistant Behavior Analyst 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 2017-07-25
1578085148 Lavetta S Ivey Behavior Technician 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 2017-07-14
Find all providers in zip 34952

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134727035 Juan Carlos Arteaga Jr. Student in an Organized Health Care Education/Training Program 742 Sw Mccullough Ave, Port St Lucie, FL 34953-3918 2020-10-13
1801455241 Gail Marie Ruffin Student in an Organized Health Care Education/Training Program 160 Nw Pleasant Grove Way, Port St Lucie, FL 34986-3586 2019-06-10
1093236721 Amy Lee Aviles Student in an Organized Health Care Education/Training Program 2344 Sw Savona Blvd, Port St Lucie, FL 34953-2215 2017-07-03
1265963920 Henry Brant Huson Student in an Organized Health Care Education/Training Program 10275 Sw Village Pkwy, Unit 206, Port St Lucie, FL 34987-2370 2017-03-24
1740809433 Kenoviah Heron Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-04-13
1659990760 Jonathan C. Nilson Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-04-09
1538796081 Brendan Lawrence Mahoney Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-03-25
1326675968 Alec Colby Underhill Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2020-03-24
1134689987 Chase Hemphill Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-20
1427517432 Morgan Macintyre Student in an Organized Health Care Education/Training Program 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 2019-03-19
Find all providers in PORT ST LUCIE

Competitor

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City PORT ST LUCIE
Zip Code 34952

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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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