KIMBERLY A NICHOLSON


Address: 9350 Camelot Dr, Fort Myers, FL 33919-7980
Phone: 2394815437

KIMBERLY A NICHOLSON (NPI# 1629127188) 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) 1629127188
Entity Type Individual
Full Name KIMBERLY A NICHOLSON
Credential MD
Practice Address 9350 Camelot Dr
Fort Myers
FL 33919-7980
Mailing Address 12730 New Brittany Blvd Ste 602
Fort Myers
FL 33907-4690
Practice Telephone 2394815437
Practice Fax Number 2394810571
Mailing Telephone 2392755522
Mailing Fax Number 2392754464
Enumeration Date 2007-01-10
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ME102851 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 000607900 05
FL BCBS FLORIDA 93132 01

Other Providers KIMBERLY NICHOLSON

NPI Name Taxonomy Address Enumeration
1790256600 Kimberly Joyce Nicholson Social Worker 1085 Maple St, Farmington, MO 63640-1955 2018-12-17
1114319209 Kimberly Nicholson Registered Nurse 622 E Grand River Ave, Howell, MI 48843-2329 2015-02-26
1245636026 Kimberly Nicholson Nurse Practitioner 170 N Lakewood Rd, Lake In The Hills, IL 60156-5944 2014-11-06
1427210475 Kimberly Marie Nicholson Dermatology 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4880 2008-07-01
1861688806 Kimberly Hill Nicholson Pharmacist 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 2007-09-24
1326175928 Kimberly Nicholson Counselor 322 N Main St, Kokomo, IN 46901-4622 2007-02-28
1710074224 Kimberly Anne Nicholson Speech-Language Pathologist 3305 W End Ave, Nashville, TN 37203-1035 2006-10-06
1669587754 Kimberly Joan Nicholson Physical Therapy Assistant 230 Hospital Plz, Weston, WV 26452-8558 2006-08-20

Office Location

Street Address 9350 CAMELOT DR
City FORT MYERS
State FL
Zip Code 33919-7980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013906577 Melanie Aliza Coombs-bynum Pediatrics 9350 Camelot Dr, Fort Myers, FL 33919 2005-10-18
1568995041 Deborah Craig Miller Pediatrics 9350 Camelot Dr, Fort Myers, FL 33919 2017-04-11
1225435142 Sara Joanne Foley Nurse Practitioner 9350 Camelot Dr, Fort Myers, FL 33919-7980 2014-11-20
1942556667 Heather Tudor Occupational Therapist 9350 Camelot Dr, Fort Myers, FL 33919-7980 2012-07-31
1801189659 Jessica Lynn Schumaker Nurse Practitioner 9350 Camelot Dr, Fort Myers, FL 33919-7980 2011-05-25
1063704971 Jessica Ferraro Speech-Language Pathologist 9350 Camelot Dr, Fort Myers, FL 33919-7980 2011-05-10
1225332323 Gillian Lukoic Occupational Therapist 9350 Camelot Dr, Fort Myers, FL 33919-7980 2011-01-04
1295065902 Jasmine Marie Reese Pediatrics 9350 Camelot Dr, Fort Myers, FL 33919-7980 2009-12-30
1477724375 Jennifer Newton Physical Therapist 9350 Camelot Dr, Fort Myers, FL 33919-7980 2008-03-18
1407026958 Dawn A Cox Speech-Language Pathologist 9350 Camelot Dr, Fort Myers, FL 33919-7980 2008-03-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073145942 Patricia June Briand Registered Nurse 4309 Mariner Way #307, Fort Myers, FL 33919 2020-02-10
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1811342397 Kimberly Regenesis Substance Abuse Rehabilitation Facility 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 2016-05-03
1689030207 Balance for All, Inc. Acupuncturist 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 2016-01-12
1902275217 Kelly Jean Overton Physical Therapist 6341 Whiskey Creek Drive, Fort Myers, FL 33919 2015-09-16
1508125311 Charles Clark Dugan IIi Chiropractor 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 2012-05-14
1659641231 Dasha Bich Le Pharmacist 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 2012-01-12
1164792602 Gail Lee Rathbun Nurse Practitioner 6311 S. Pointe Blvd., Fort Meyers, FL 33919 2011-12-30
1871878173 Scott Kozlowski Behavioral Analyst 5335 Shalley Cir., Ft. Myers, FL 33919 2011-10-18
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174980031 Christina Helen Hodges Pediatrics 1676 Morning Glory Ct, Fort Myers, FL 33901-9664 2016-01-24
1144572249 Victoria Sydeco Tayengco-maisog Pediatrics 9304 Trieste Drive, Fort Myers, FL 33913 2012-10-12
1790066983 De La Vega Pediatrics, Corp. Pediatrics 31 Barkley Cir, Suite 1, Fort Myers, FL 33907-7628 2011-09-01
1972823409 Fort Myers Pediatrics LLC Pediatrics 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919-7601 2010-06-07
1689804148 Daniel Eric Eason Pediatrics 16281 Bass Rd, Suite 301, Fort Myers, FL 33908 2009-07-19
1609026590 Paul P Lorenz Pediatrics 12010 Rosemount Dr, Fort Myers, FL 33913-8378 2008-09-26
1669634036 Leigh Ruth Sweet Pediatrics 9981 S Healthpark Dr Ste 454, Fort Myers, FL 33908-3618 2008-06-27
1043488539 Hetty Zoe Snyderman Pediatrics 21 Carrotwood Ct, Fort Myers, FL 33919-7531 2008-02-18
1538354089 Judith Toffel-liccini Pediatrics 20 Carrotwood Ct, Fort Myers, FL 33919-7531 2007-09-07
1396951497 George Joseph Arthur Magnant Pediatrics Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 2007-05-15
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33919

Improve Information

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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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