KIANDRA SADE OLUFOWOBI (NPI# 1609339985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609339985 |
| Entity Type | Individual |
| Full Name | KIANDRA SADE OLUFOWOBI |
| Practice Address |
6001 Toscana Dr Apt 921 Davie FL 33314-3591 |
| Mailing Address |
11063 Nw 24th St Sunrise FL 33322-2513 |
| Practice Telephone | 2036109381 |
| Mailing Telephone | 2036109381 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6001 TOSCANA DR APT 921 |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-3591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859723 | Leslie Walker | Student in an Organized Health Care Education/Training Program | 3891 W State Road 84 Unit 303, Davie, FL 33312-8826 | 2020-10-19 |
| 1972123917 | Vipin Palukuri | Student in an Organized Health Care Education/Training Program | 19 Madrid Ln, Davie, FL 33324-5548 | 2020-04-20 |
| 1336778372 | Julie Reji Mathew | Student in an Organized Health Care Education/Training Program | 6120 Hawkes Bluff Ave, Davie, FL 33331-3416 | 2020-04-02 |
| 1144855446 | Christ Gao | Student in an Organized Health Care Education/Training Program | 7923 N Southwood Cir, Davie, FL 33328-3828 | 2020-03-06 |
| 1417580408 | Jessica M Pokryfke | Student in an Organized Health Care Education/Training Program | 6325 Robert Ln Apt E-407, Davie, FL 33314-4467 | 2020-02-18 |
| 1073144838 | Ali Edrisi | Student in an Organized Health Care Education/Training Program | 2946 S University Dr Apt 7212, Davie, FL 33328-1488 | 2020-01-30 |
| 1366080343 | Ahmed Seweid | Student in an Organized Health Care Education/Training Program | 8701 Sw 30th St Apt 207, Davie, FL 33328-1828 | 2019-12-20 |
| 1730736588 | Chris Tran | Student in an Organized Health Care Education/Training Program | 2188 Nova Village Dr, Davie, FL 33317-7011 | 2019-08-26 |
| 1497318323 | Kaitlyn Rowan | Student in an Organized Health Care Education/Training Program | 826 W Village Cir, Davie, FL 33325-4427 | 2019-04-16 |
| 1447813555 | Kate Graen | Student in an Organized Health Care Education/Training Program | 4895 Shalimar Ln Apt 11207, Davie, FL 33328-7168 | 2019-04-16 |
| Find all providers in DAVIE | ||||
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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.