KATHLEEN DEKOVEN MCMICKEN (NPI# 1689646317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689646317 |
| Entity Type | Individual |
| Full Name | KATHLEEN DEKOVEN MCMICKEN |
| Credential | ARNP |
| Practice Address |
2250 Osprey Blvd Ste 100 Bartow FL 33830 |
| Mailing Address |
Po Box 95004 Lakeland FL 33804 |
| Practice Telephone | 8635337151 |
| Practice Fax Number | 8635337214 |
| Mailing Telephone | 8636807206 |
| Mailing Fax Number | 8636807420 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP528982 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2250 OSPREY BLVD STE 100 |
| City | BARTOW |
| State | FL |
| Zip Code | 33830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053988 | Perwaiz Hussain Rahim | Internal Medicine | 2250 Osprey Blvd, Suite 105, Bartow, FL 33830-4340 | 2005-12-09 |
| 1235678756 | Premier Women's Care Ob/gyn Pllc | Obstetrics & Gynecology | 2250 Osprey Blvd, Suite 104, Bartow, FL 33830-4340 | 2017-02-16 |
| 1114046372 | Stan Zemankiewicz M D Ph D P A | Orthopaedic Surgery | 2250 Osprey Blvd, Suite 104, Bartow, FL 33830-4340 | 2007-03-28 |
| 1518005966 | Watson Clinic LLP | Family Medicine | 2250 Osprey Blvd, Suite 100, Bartow, FL 33830-4340 | 2007-02-01 |
| 1508899055 | Stan Zemankiewicz | Orthopaedic Surgery | 2250 Osprey Blvd, Suite 104, Bartow, FL 33830-4340 | 2006-07-08 |
| 1265404065 | Benjamin Yainthang Phen | Family Medicine | 2250 Osprey Blvd, Suite 100, Bartow, FL 33830 | 2006-02-06 |
| 1083686018 | Maria Karina Solorzano-klapprott | Family Medicine | 2250 Osprey Blvd, Suite 100, Bartow, FL 33830 | 2006-02-03 |
| 1215909254 | Richard Francis Sweeney | Family Medicine | 2250 Osprey Blvd, Ste 100, Bartow, FL 33830 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| 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 |
|---|---|---|---|---|
| 1699167304 | Danita T Bailey | Nurse Practitioner | 2020 Flamingo Dr, Bartow, FL 33830-4262 | 2015-03-04 |
| 1942617410 | Angela Wimmer | Nurse Practitioner | 1260 Golfview Ave, Bartow, FL 33830-6738 | 2014-07-16 |
| 1770893711 | James William Bittner | Nurse Practitioner | 2200 Osprey Blvd, Bartow, FL 33830-3308 | 2010-10-08 |
| 1114119070 | Patricia Clark | Nurse Practitioner | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2007-08-15 |
| 1790795417 | Donna Jean Adair | Nurse Practitioner | 1239 E Main St, Bartow, FL 33830-5058 | 2006-08-08 |
| 1316933229 | Beverly Brown | Nurse Practitioner | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770340 | Ashley Mae Fleck | Nurse Practitioner | 3428 Sepia St, West Melbourne, FL 32904-7588 | 2020-11-08 |
| 1356942031 | Jorge Luis Ulloa Capestany | Nurse Practitioner | 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 | 2020-11-08 |
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1295336337 | Eduardo Wilfredo Loredo | Nurse Practitioner | 2930 Nw 156th St, Opa Locka, FL 33054-2226 | 2020-11-05 |
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHLEEN DEKOVEN MCMICKEN.
| 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.