KATHRYN ANNE ERICKSON (NPI# 1588200885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588200885 |
| Entity Type | Individual |
| Full Name | KATHRYN ANNE ERICKSON |
| Other Name | KATHRYN HEMMY |
| Credential | ARNP |
| Practice Address |
1630 Mason Ave Ste C Daytona Beach FL 32117-4503 |
| Mailing Address |
5338 Plantation Home Way Port Orange FL 32128-7529 |
| Practice Telephone | 3862389064 |
| Mailing Telephone | 3863332235 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG11005008 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518115385 | Kathryn Bleazard Erickson | Social Worker | 960 Dixie Downs Dr, St George, UT 84770 | 2008-09-04 |
| 1699941625 | Kathryn Nicole Erickson | Nurse Practitioner | 5671 Peachtree Dunwoody Rd Ne Ste 250, Atlanta, GA 30342-5011 | 2008-04-30 |
| 1871558858 | Kathryn D Erickson | Nurse Practitioner | 500 John Deere Rd Ste 400, Moline, IL 61265-6892 | 2006-04-20 |
| 1912556119 | Kathryn Erickson | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-09-10 |
| 1790042299 | Kathryn Erickson | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2012-04-20 |
| 1154617264 | Kathryn E. Erickson | Pharmacist | 9390 W Cross Dr, T-1776, Littleton, CO 80123-2202 | 2011-06-27 |
| 1336446624 | Kathryn Ann Erickson | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2011-02-22 |
| 1780794628 | Kathryn W Erickson | Dermatology | 14030 Ne 24th St, Suite 202, Bellevue, WA 98007 | 2006-08-30 |
| Street Address |
1630 MASON AVE STE C |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082607 | Husam Eddin | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2006-07-28 |
| 1619511763 | Excellence Health Psychiatry, LLC | Psychiatry & Neurology | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-01 |
| 1467006080 | Melissa Ann Goddard | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-07-31 |
| 1700449238 | Jeanine Tripp | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2019-04-19 |
| 1891261863 | Meagan Ann Burgess | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2018-10-17 |
| 1447741749 | Excellence Health, LLC | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2018-05-22 |
| 1134634249 | Andrea Mercado | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2017-12-12 |
| 1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
| 1548614647 | Emma Laura Ems | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2016-04-15 |
| 1700204005 | Antonio Manuel Portilla-cintron Jr. | Specialist | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891230371 | Dmitriy Shishkin | Nurse Practitioner | 253 Bayberry Lakes Blvd, Daytona Beach, FL 32124-3620 | 2016-12-20 |
| 1285805804 | Sylvia S. Quandt | Nurse Practitioner | 1200 Red John Dr, Daytona Beach, FL 32124-1073 | 2008-03-23 |
| 1952499287 | Natalie K Eisenhut | Nurse Practitioner | 1040 W International Speedway Blvd, Daytona Beach, FL 32114-3434 | 2006-10-11 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1225532336 | Kristine Mcgowan | Nurse Practitioner | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2018-03-22 |
| 1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
| 1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
| 1548614647 | Emma Laura Ems | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2016-04-15 |
| 1669808861 | Robin P Brown | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-09-19 |
| 1225333529 | Maryjane Mclaughlin | Nurse Practitioner | 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2011-01-18 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on KATHRYN ANNE ERICKSON.
| 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.