KIMBERLY ANNE GREENAWALT (NPI# 1578831954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578831954 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE GREENAWALT |
| Other Name | KIMBERLY ANNE BUTTERFIELD |
| Credential | ACNP-BC |
| Practice Address |
4205 Belfort Rd Suite 2069 Jacksonville FL 32216-1471 |
| Practice Telephone | 9042960278 |
| Mailing Telephone | 9042960278 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2015-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
APRN9184456 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4205 BELFORT RD SUITE 2069 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707327 | Robert A Luke | Internal Medicine | 4205 Belfort Rd, Suite 2069, Jacksonville, FL 32216-1471 | 2005-08-15 |
| 1922498765 | Janet Speer | Nurse Practitioner | 4205 Belfort Rd, Suite 1100 Joe Adams Bldg., Jacksonville, FL 32216-1471 | 2015-02-02 |
| 1710316427 | Hester E. Hartman | Physician Assistant | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216-5876 | 2013-11-03 |
| 1366783441 | Seton Pharmacy Inc. | Pharmacy | 4205 Belfort Rd, Suite 1003, Jacksonville, FL 32216-1471 | 2013-03-14 |
| 1033466750 | Melanie Lehmann | Nurse Practitioner | 4205 Belfort Rd, Suite 2069, Jacksonville, FL 32216-1471 | 2012-08-13 |
| 1780979880 | Arlene G. Schlumbohm, Do, Pa | Family Medicine | 4205 Belfort Rd, Ste. 3004, Jacksonville, FL 32216-1471 | 2011-06-16 |
| 1568697084 | Sherri Morgan Kimes | Nurse Practitioner | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216-1471 | 2009-05-28 |
| 1255503843 | Brian Franklin Petrine | Physician Assistant | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216 | 2008-03-24 |
| 1891901674 | Mary Katherine Yoder | Family Medicine | 4205 Belfort Rd, Suite 3075, Jacksonville, FL 32216-1475 | 2007-05-16 |
| 1154533420 | Mary Elizabeth Dehay | Nurse Practitioner | 4205 Belfort Rd, 4090, Jacksonville, FL 32216-1471 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1073022042 | James Daxton Turner | Nurse Practitioner | 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 | 2017-09-21 |
| 1861887770 | Emily Elfreich | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-03-30 |
| 1568800613 | Sara Marie Preston | Nurse Practitioner | 2 Shircliff Way, Ste 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
| 1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
| 1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
| 1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
| 1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
| 1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
| 1144611716 | Hector F Gordillo | Nurse Practitioner | 1611 Nw 12th Ave Ste C402, Miami, FL 33136-1005 | 2015-02-18 |
| 1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
| 1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
| 1154499507 | Julie Ann Dodarell | Nurse Practitioner | 5595 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2006-12-02 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.