KELLY RENICK (NPI# 1427408962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427408962 |
| Entity Type | Individual |
| Full Name | KELLY RENICK |
| Practice Address |
333 Tamiami Trl S Suite 101 Venice FL 34285-2402 |
| Practice Telephone | 9414881906 |
| Practice Fax Number | 9412449326 |
| Mailing Telephone | 9414881906 |
| Mailing Fax Number | 9412449326 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9181416 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
333 TAMIAMI TRL S SUITE 101 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003876293 | The Venice Walk In Medical Center Inc | Family Medicine | 333 Tamiami Trl S, Suite 102, Venice, FL 34285-2402 | 2006-03-23 |
| 1063958304 | Jill Stchur | Physician Assistant | 333 Tamiami Trl S, Suite 168/171, Venice, FL 34285-2402 | 2017-01-10 |
| 1104216076 | Mark Richardson | Physical Therapy Assistant | 333 Tamiami Trl S, Venice, FL 34285-2402 | 2015-01-30 |
| 1427472117 | Deirdre M Weirzbicki | Nurse Practitioner | 333 Tamiami Trl S, Suite 171, Venice, FL 34285-2402 | 2014-02-14 |
| 1760780100 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2011-03-09 |
| 1679870901 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 102, Venice, FL 34285-2402 | 2011-02-23 |
| 1659684405 | Schreckenghaust Michel & Pack Inc | Non-emergency Medical Transport (VAN) | 333 Tamiami Trl S, Suite 272, Venice, FL 34285-2402 | 2010-07-22 |
| 1326281411 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2009-04-20 |
| 1649427626 | Helen Dunn L C S W P A | Social Worker | 333 Tamiami Trl S, Suite 294, Venice, FL 34285-2402 | 2008-08-21 |
| 1821213554 | Isabella Medical Corporation | Family Medicine | 333 Tamiami Trl S, Suite 102, Venice, FL 34285-2402 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1558824292 | John Huffaker | Nurse Practitioner | 333 Tamiami Trl S Ste 307, Venice, FL 34285-2428 | 2019-04-10 |
| 1609324201 | Kelly Gonzalez | Nurse Practitioner | 11814 Tempest Harbor Loop, Venice, FL 34292-3821 | 2016-09-13 |
| 1134598238 | Katie A Spada | Nurse Practitioner | 1531 Tamiami Trl S Ste 703, Venice, FL 34285-5569 | 2015-09-18 |
| 1992171755 | Rachel Martinez Franzen | Nurse Practitioner | 901 Venetia Bay Blvd Ste 110, Venice, FL 34285-8042 | 2015-08-17 |
| 1841599701 | Dawn Carole Carry | Nurse Practitioner | Venetian Hospitalist Services, 540 The Rialto, Venice, FL 34285-2900 | 2011-03-17 |
| 1821045352 | Elina S Belilovskiy | Nurse Practitioner | 425 Commercial Ct, Suite 112, Venice, FL 34292 | 2006-05-30 |
| 1376141986 | Emily Cunningham | Nurse Practitioner | 540 The Rialto, Venice, FL 34285-2900 | 2020-10-15 |
| 1437765179 | Nicole Marie Clark | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 | 2020-09-18 |
| 1205451366 | Jessica Wyckoff | Nurse Practitioner | 1415 E Venice Ave, Venice, FL 34292-3064 | 2020-06-14 |
| Find all providers in VENICE | ||||
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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.