MS. KIMBERLY KAY NELSON (NPI# 1689114050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689114050 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY KAY NELSON |
| Credential | ARNP |
| Practice Address |
555 W State Road 434 Longwood FL 32750-5119 |
| Mailing Address |
102 W Pineloch Ave Ste 23 Orlando FL 32806-6100 |
| Practice Telephone | 3218422994 |
| Practice Fax Number | 4077675801 |
| Mailing Telephone | 4074817179 |
| Mailing Fax Number | 4074817190 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP1803702 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1803702 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021438200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182669 | Kimberly Joan Nelson | Occupational Therapist | 23 Red Gate Ln, Franklin, MA 02038-1365 | 2020-10-21 |
| 1962058362 | Kimberly Diane Nelson | Nurse Practitioner | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-08-13 |
| 1477036234 | Kimberly Paige Nelson | Licensed Practical Nurse | 218 Indian Creek Rd, Jacksboro, TN 37757-3018 | 2018-09-07 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1689084766 | Kimberly Nelson | Chiropractor | 5301 Longley Ln Ste 43, Reno, NV 89511-1807 | 2014-04-29 |
| 1275838773 | Kimberly Anne Nelson | Physical Therapy Assistant | 5800 Sun Perch Dr, Newalla, OK 74857-6432 | 2011-01-14 |
| 1033308424 | Kimberly Nelson | Occupational Therapist | 3609 146th Ave Ne, Ham Lake, MN 55304-6415 | 2007-10-22 |
| 1558554477 | Kimberly R Nelson | Developmental Therapist | 3037 Coral Strip Pkwy, Gulf Breeze, FL 32563-2773 | 2007-08-23 |
| 1518157924 | Kimberly Suezanne Nelson | Mechanotherapist | 4220 Shasta Way, Klamath Falls, OR 97603-4842 | 2007-07-31 |
| 1356497325 | Kimberly Lane Nelson | Counselor | 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 | 2007-01-25 |
| Street Address |
555 W STATE ROAD 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326014242 | Sivarao Manapragada | Family Medicine | 555 W State Road 434, Longwood, FL 32750-5119 | 2006-02-28 |
| 1861028912 | Victor David Pareja | Nurse Anesthetist, Certified Registered | 555 W State Road 434, Longwood, FL 32750-5119 | 2020-03-20 |
| 1396392304 | Erika Cortes | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2019-08-23 |
| 1417450594 | April Lynn Nooney | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2018-03-14 |
| 1396247730 | Hermine L Forte Morris | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2018-03-01 |
| 1356858807 | Christopher Allan Fankboner | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2018-01-05 |
| 1487176418 | Joseph Vincent Potts | Registered Nurse | 555 W State Road 434, Longwood, FL 32750-5119 | 2017-07-12 |
| 1891238440 | Melissa Araujo | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2016-11-30 |
| 1386001774 | Marcia Bazelais | Respiratory Therapist, Registered | 555 W State Road 434, Longwood, FL 32750-5119 | 2016-01-15 |
| 1245695550 | Kristyn Line | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944609 | Rayna Elice Mike | Nurse Practitioner | 716 Fox Valley Dr, Longwood, FL 32779-2508 | 2020-08-26 |
| 1912406315 | Mini V Kuriakose | Nurse Practitioner | 382 Brentwood Club Cv, Longwood, FL 32750-3352 | 2018-02-12 |
| 1629467295 | Barbara Jean Locke | Nurse Practitioner | 3967 Oakington Pl, Longwood, FL 32779-7119 | 2015-01-20 |
| 1043252307 | Florida Facilitists, LLC | Nurse Practitioner | 1450 W Lake Brantley Rd, Longwood, FL 32779-4766 | 2006-06-12 |
| 1275512196 | Vivian Lizzette Kaiser | Nurse Practitioner | 515 W State Road 434 Ste 100a, Longwood, FL 32750-4981 | 2006-01-10 |
| 1417450594 | April Lynn Nooney | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2018-03-14 |
| 1891238440 | Melissa Araujo | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2016-11-30 |
| 1245695550 | Kristyn Line | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-12-31 |
| 1881068955 | Erika G. Oliver | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-11-30 |
| 1790176998 | Brian Clayton | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-02-10 |
| Find all providers in LONGWOOD | ||||
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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.