KELLY WHITE FENNEMORE (NPI# 1427213081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427213081 |
| Entity Type | Individual |
| Full Name | KELLY WHITE FENNEMORE |
| Credential | ARNP |
| Practice Address |
400 8th St N Naples FL 34102-5519 |
| Mailing Address |
3434 Hancock Bridge Pkwy Suite 301 North Fort Myers FL 33903-7094 |
| Practice Telephone | 2392638385 |
| Practice Fax Number | 2392638592 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9298326 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 8TH ST N |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316313 | Germaine Eurich | Nurse Practitioner | 400 8th St N, Naples, FL 34102-5519 | 2005-09-14 |
| 1780283788 | Ceasar Teano | Physical Therapist | 400 8th St N, Naples, FL 34102-5519 | 2020-10-21 |
| 1871033704 | Superior Care Rehab LLC | Physical Therapy Assistant | 400 8th St N, Naples, FL 34102-5519 | 2017-02-25 |
| 1649728064 | Superior Care Rehab LLC | Physical Therapy Assistant | 400 8th St N, Naples, FL 34102-5519 | 2016-09-14 |
| 1659721645 | Kimberly Read Diaz | Nurse Practitioner | 400 8th St N, Naples, FL 34102-5519 | 2016-06-21 |
| 1962813790 | Charles Richard Underwood Md Pllc | Clinic/Center | 400 8th St N, Naples, FL 34102-5519 | 2014-05-14 |
| 1679992028 | Naples Rheumatology Pllc | Internal Medicine | 400 8th St N, Naples, FL 34102-5519 | 2014-04-14 |
| 1023444874 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 400 8th St N, Naples, FL 34102-5519 | 2013-09-24 |
| 1477891620 | Jennifer C Walcott | Physical Therapist | 400 8th St N, Naples, FL 34102-5519 | 2013-01-23 |
| 1578859252 | Jacqueline Beth Crandall | Nurse Practitioner | 400 8th St N, Naples, FL 34102 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617105 | Chelsea Renee Jones | Nurse Practitioner | 8777 Madrid Cir, Naples, FL 34104-6225 | 2019-12-31 |
| 1265931539 | Odalys Pena | Nurse Practitioner | 2161 52nd Ter Sw, Naples, FL 34116-6239 | 2018-02-01 |
| 1902315328 | Esther Pinter | Nurse Practitioner | 7709 Bristol Circle, Naples, FL 34120 | 2017-09-28 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1790710846 | Alicia M. Peterson | Nurse Practitioner | 2975 14th Ave Ne, Naples, FL 34120-5512 | 2006-07-11 |
| 1467499681 | Jean K Carlson | Nurse Practitioner | 9015 Strada Stell Court, Suite 201, Naples, FL 34109 | 2006-05-31 |
| 1942254354 | Zulay Zayas | Nurse Practitioner | 1168 Goodlette Rd North, Naples, FL 34102-5753 | 2006-05-20 |
| 1285685354 | Lisa C Hofschulz | Nurse Practitioner | 5445 Park Central Ct, Naples, FL 34109-6004 | 2006-05-13 |
| 1184691248 | Kathleen Donleavy Werner | Nurse Practitioner | 7050 Lone Oak Blvd, Naples, FL 34109-8876 | 2006-03-07 |
| 1285282186 | Emily Guerrero | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2019-09-04 |
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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.