KIMBERLY A O'DONNELL (NPI# 1497273429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497273429 |
| Entity Type | Individual |
| Full Name | KIMBERLY A O'DONNELL |
| Credential | ARNP |
| Practice Address |
5742 Booth Rd Ste A Jacksonville FL 32207-5982 |
| Mailing Address |
7015 A C Skinner Pkwy Ste 1 Jacksonville FL 32256-6932 |
| Practice Telephone | 9077397779 |
| Practice Fax Number | 9047397771 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632606 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9297153 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P02352086 | 01 |
| FL | 022227700 | 05 | |
| FL | FLORIDA BLUE | 5QPBY | 01 |
| FL | MEDICARE | JC682Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497115745 | Kimberly O'donnell | Occupational Therapist | 1095 Beauty Hill Rd, Barnstead, NH 03218-3750 | 2016-02-29 |
| 1386910941 | Kimberly A O'donnell | Rehabilitation Practitioner | 14535 Sherman Cir, Van Nuys, CA 91405-3087 | 2012-03-28 |
| 1962591107 | Kimberly Susan O'donnell | Internal Medicine | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2006-10-12 |
| Street Address |
5742 BOOTH RD STE A |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217463 | Ashley C Moyer | Physician Assistant | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2016-11-10 |
| 1194356584 | Violeta Elena Anghel | Nurse Practitioner | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1497368757 | Arthur C Ricker Jr. | Nurse Practitioner | 501 E Bay St Fl 32202, Jacksonville, FL 32202-2927 | 2020-08-26 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1366947475 | Tikilia Denise Scott | Nurse Practitioner | 3599 University Blvd S Ste 400, Jacksonville, FL 32216-4232 | 2018-03-29 |
| 1376065417 | Geraldine M Obi | Nurse Practitioner | 3599 University Blvd S Ste 1600, Jacksonville, FL 32216-7441 | 2017-07-11 |
| 1881130060 | Yaazmiyn White | Nurse Practitioner | 8868 Merseyside Ave, Jacksonville, FL 32219-4355 | 2017-01-12 |
| 1821545872 | Anmarie Chandler | Nurse Practitioner | 320 Branscomb Dr Sw Ste A, Jacksonville, AL 36265-3102 | 2016-09-07 |
| 1538523402 | Julia Peters Paul | Nurse Practitioner | 10898 Tarin Dr, Jacksonville, FL 32218-4808 | 2016-04-07 |
| 1487035465 | Aggie Kalyn Hunt | Nurse Practitioner | 237 Old White Street, Suite 1, Jacksonville, NC 28546-6351 | 2015-06-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on KIMBERLY A O'DONNELL.
| 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.