MRS. KATHY DENESE BASS


Address: 340 Nw Commerce Dr, Lake City, FL 32055-4709
Phone: 8005078874

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
340 Nw Commerce Dr, Lake City, FL 320554709 8005078874

Office Location

Street Address 340 NW COMMERCE DR
City LAKE CITY
State FL
Zip Code 32055-4709

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LAKE CITY
Zip Code 32055

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Dataset Information

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.

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