KIMBERLY E CHURCH (NPI# 1215177795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215177795 |
| Entity Type | Individual |
| Full Name | KIMBERLY E CHURCH |
| Credential | PSYD |
| Practice Address |
308 E Oak Ave Tampa FL 33602-2344 |
| Mailing Address |
22867 Southshore Dr Land O Lakes FL 34639-4755 |
| Practice Telephone | 8138108110 |
| Mailing Telephone | 8134683505 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7577 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | PY7577 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124107347 | Kimberly C Church | Durable Medical Equipment & Medical Supplies | 3917 Burlington Rd, Greensboro, NC 27405-8652 | 2006-11-06 |
| 1386168904 | Kimberly Church | Nursing Home Administrator | 2775 E Lansing Dr, East Lansing, MI 48823-7755 | 2017-07-26 |
| Street Address |
308 E OAK AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538225396 | Sharon V Shaw | Counselor | 308 E Oak Ave, Tampa, FL 33602-2344 | 2006-12-28 |
| 1295245405 | Karen Lynn Huff | Counselor | 308 E Oak Ave, Tampa, FL 33602-2344 | 2017-10-03 |
| 1083842900 | Psychology Services Associates, LLC | Psychologist | 308 E Oak Ave, Tampa, FL 33602-2344 | 2009-06-30 |
| 1639325186 | Psychology Center for Wellness LLC | Psychologist | 308 E Oak Ave, Tampa, FL 33602-2344 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1205488012 | Kimberly Hubinger | Psychologist | 3825 Henderson Blvd Ste 505c, Tampa, FL 33629-5037 | 2019-07-11 |
| 1528537362 | Bethan Anne Roberts | Psychologist | 13000 Bruce B Downs Blvd Rm 163, Tampa, FL 33612-4745 | 2018-11-23 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1962979583 | Rosana Marzullo-dove | Psychologist | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2018-11-01 |
| 1740764158 | Fabian Alexandro Consbruck | Psychologist | 5425 Beaumont Center Blvd Ste 918, Tampa, FL 33634-5214 | 2018-09-20 |
| 1154810802 | Lashley Marks | Psychologist | 4202 E Fowler Ave Stop Svc2124, Tampa, FL 33620-6970 | 2018-05-08 |
| 1922595305 | Carmen Ana Gonzalez-magaz | Psychologist | 836 S Davis Blvd, Tampa, FL 33606-4025 | 2018-04-20 |
| 1811494982 | Adam Zimmer | Psychologist | 4202 E Fowler Ave Shs 100, Tampa, FL 33620-6750 | 2018-04-06 |
| 1326553389 | My Psychology Place Inc. | Psychologist | 6601 Memorial Hwy Ste 310, Tampa, FL 33615-4501 | 2017-12-12 |
| 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.