DR. KYLA HEUSNER-BANKS (NPI# 1538438635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538438635 |
| Entity Type | Individual |
| Full Name | DR. KYLA HEUSNER-BANKS |
| Credential | M.D. |
| Practice Address |
2812 54th Ave S St Petersburg FL 33712-4610 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 7278678641 |
| Practice Fax Number | 7278676795 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R0869 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME121651 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2812 54TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841609 | Roy Wayne Finley | Family Medicine | 2812 54th Ave S, St Petersburg, FL 33712-4610 | 2006-08-21 |
| 1164839643 | Ellen Layton Mullarkey | Nurse Practitioner | 2812 54th Ave S, St Petersburg, FL 33712-4610 | 2014-07-17 |
| 1467894501 | Ashleyrae Donald | Internal Medicine | 2812 54th Ave S, St Petersburg, FL 33712-4610 | 2013-07-17 |
| 1215270152 | Hasan Khan | Family Medicine | 2812 54th Ave S, St Petersburg, FL 33712-4610 | 2013-03-28 |
| 1639226459 | Robert Lemons | Family Medicine | 2812 54th Ave S, St Petersburg, FL 33712-4610 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919951 | Rhc St Pete LLC | Family Medicine | 5999 Central Ave Ste 103, St Petersburg, FL 33710-8535 | 2020-10-13 |
| 1306452875 | Ohi West, Inc | Family Medicine | 700 6th St S Fl 3, St Petersburg, FL 33701-4815 | 2020-09-21 |
| 1609489541 | Binsey C Babu | Family Medicine | 8950 Dr Martin Luther King Jr St N Ste 102, St Petersburg, FL 33702-3001 | 2020-08-29 |
| 1588174585 | Elena Borisenko | Family Medicine | 5778 5th Ave N, St Petersburg, FL 33710-7104 | 2017-10-04 |
| 1336667187 | Amar Talati, Do, LLC | Family Medicine | 2901 1st Ave N Ste 301, St Petersburg, FL 33713-8640 | 2017-08-31 |
| 1265954085 | St. Petersburg Primary Care Associates | Family Medicine | 780 4th Ave S, St Petersburg, FL 33701-4412 | 2017-07-13 |
| 1659818102 | Diligent Care LLC | Family Medicine | 6743 14th Ave N, St Petersburg, FL 33710-5405 | 2017-01-23 |
| 1821476458 | Chantel Tenesia Jacobs | Family Medicine | 7751 9th St N, St Petersburg, FL 33702-1102 | 2015-05-15 |
| 1003228131 | Carolina Vac Nelson | Family Medicine | 7751 9th St N Ste 10, St Petersburg, FL 33702-1102 | 2014-05-23 |
| 1700205069 | Carol Thuy Vy Tran | Family Medicine | 6801 4th St N, St Petersburg, FL 33702 | 2014-04-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.