KASIIM SHAKIR BARR (NPI# 1467052399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467052399 |
| Entity Type | Individual |
| Full Name | KASIIM SHAKIR BARR |
| Practice Address |
640 Dr Mary Mcleod Bethune Blvd Daytona Beach FL 32114-3012 |
| Mailing Address |
4474 Goldenrain Ct Orlando FL 32808-1771 |
| Practice Telephone | 4075919502 |
| Mailing Telephone | 4075919502 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4474 Goldenrain Ct, Orlando, FL 328081771 | 4075919502 |
| Street Address |
640 DR MARY MCLEOD BETHUNE BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074293 | Brian William Jansen | Specialist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2006-02-27 |
| 1770199416 | Nikkita Nozistel | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-09-18 |
| 1629691985 | Sydney Viar | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-05-21 |
| 1154978575 | Zumondrae Newsome | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2019-08-20 |
| 1659859544 | Tamera Alexis Demps | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-08-01 |
| 1033697479 | Bria Jones | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-07-28 |
| 1295236057 | Stephone Delano Devante Baker | Kinesiotherapist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-02-26 |
| 1689128431 | Matthew Luers | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2016-08-10 |
| 1639549272 | Neville Willibe Spurgeon Jr. | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2015-09-25 |
| 1265823421 | Jae Hwan Song | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Handfiled Athletic Training Center, Daytona Beach, FL 32114-3012 | 2015-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215020219 | Lee Arnold Bridgewater | Psychologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465279 | Ronald Mark Sherman | Psychologist | 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 | 2020-10-22 |
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on KASIIM SHAKIR BARR.
| 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.