TIFFANY CHRISTINE KIMBLE (NPI# 1477034601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477034601 |
| Entity Type | Individual |
| Full Name | TIFFANY CHRISTINE KIMBLE |
| Credential | APRN, FNP-C |
| Practice Address |
2401 60th Street Ct W Bradenton FL 34209-5500 |
| Practice Telephone | 9417995603 |
| Mailing Telephone | 9417995603 |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN99273845 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11000026 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871763094 | Tiffany Anne Kimble | Physician Assistant | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2008-03-04 |
| Street Address |
2401 60TH STREET CT W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463378 | Brian T. Berry | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2005-11-02 |
| 1356949077 | Corrie Cross Killingsworth | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2020-10-14 |
| 1518443803 | Ashley Walton | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2018-07-19 |
| 1548793912 | Tiffany K. Hurd | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2017-04-04 |
| 1558777425 | Fernando Silva | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2014-07-10 |
| 1629319975 | Tulia Gonzalez | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2013-03-12 |
| 1689978272 | Loretta R Mallari | Nurse Practitioner | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2010-12-22 |
| 1265672018 | Ana Maria Van Der Wall | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2009-03-05 |
| 1508973231 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2006-08-25 |
| 1154305514 | Robert C. Whorf | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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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.