MRS. KATHY DENESE BASS (NPI# 1609435239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609435239 |
Entity Type | Individual |
Full Name | MRS. KATHY DENESE BASS |
Practice Address |
340 Nw Commerce Dr Lake City FL 32055-4709 |
Mailing Address |
1439 Raiford Rd Starke FL 32091-1425 |
Practice Telephone | 8005078874 |
Mailing Telephone | 9042639596 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP-APRN11000137 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NP-APRN11000137 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
340 Nw Commerce Dr, Lake City, FL 320554709 | 8005078874 |
Street Address |
340 NW COMMERCE DR |
City | LAKE CITY |
State | FL |
Zip Code | 32055-4709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336134386 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2005-09-15 |
1598362006 | Alison Leigh Dowell | Registered Nurse | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-10-07 |
1639783889 | Caroline Collins | General Acute Care Hospital | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-09-04 |
1437760915 | Rachel Lauren Tucker | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-08-10 |
1730707589 | Dustin Michael Crovo | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-07-08 |
1184249732 | Christina Nichole Thomas | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-06-10 |
1700408804 | Brandon Lewis Keys | Registered Nurse | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-05-12 |
1942822283 | Leanna Brooke Stebbins | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-05-09 |
1982255923 | Michelle A Faller | Nurse Practitioner | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2019-09-20 |
1093373771 | Jessica Mattingly | Registered Nurse | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2019-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
Find all providers in zip 32055 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356578348 | Elizabeth S Collie-mickens | Nurse Practitioner | 2862 Nw Suwannee Valley Rd, Lake City, FL 32055-5603 | 2009-06-17 |
1750397949 | Linda C Mcmullen | Nurse Practitioner | 619 S Marion Street, Lake City, FL 32025-5808 | 2006-07-31 |
1861408965 | Kelli Mccall Crews | Nurse Practitioner | 619 South Marion Street, Lake City, FL 32025-5808 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
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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.