KIMBERLY GROSSMAN (NPI# 1528582434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528582434 |
| Entity Type | Individual |
| Full Name | KIMBERLY GROSSMAN |
| Other Name | KIMBERLY HAMRICK |
| Credential | FNP |
| Practice Address |
341 Racetrack Rd Nw Ste B Fort Walton Beach FL 32547 |
| Mailing Address |
1136 Troon Dr W Niceville FL 32578-4063 |
| Practice Telephone | 8502268290 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
94499993 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306264106 | Kimberly Grossman | Speech-Language Pathologist | 1 E Wren Cir, Kettering, OH 45420-2955 | 2014-03-31 |
| Street Address |
341 RACETRACK RD NW STE B |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053406512 | Anthony Joseph Brothers | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste B, Suite 114, Fort Walton Beach, FL 32547-1552 | 2006-10-03 |
| 1376064469 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 341 Racetrack Rd Nw Ste B, Fort Walton Beach, FL 32547-1552 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1336633718 | Poorita Mitra Singh | Nurse Practitioner | 333 Miracle Strip Pkwy Sw, Fort Walton Beach, FL 32548-5209 | 2018-06-19 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1134630197 | Brianne Jane Freel | Nurse Practitioner | 1032 Mar Walt Dr Unit 210, Fort Walton Beach, FL 32547-6661 | 2017-10-18 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| 1578858452 | Susan Renee Gillespie | Nurse Practitioner | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2011-06-18 |
| 1932413994 | Cherri Ann Jennewein | Nurse Practitioner | 722 Rodney Ave Ne, Fort Walton Beach, FL 32547-1739 | 2010-08-02 |
| 1558529164 | Robin Jake Worring Yelverton | Nurse Practitioner | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2008-05-30 |
| 1518987460 | Catharine Danila Johnson | Nurse Practitioner | 417 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2006-07-20 |
| 1235112939 | Penny R Frantz | Nurse Practitioner | 914c Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2005-11-28 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on KIMBERLY GROSSMAN.
| 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.