DR. REBECCA L KAHRS BOLANOS (NPI# 1760034334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760034334 |
| Entity Type | Individual |
| Full Name | DR. REBECCA L KAHRS BOLANOS |
| Other Name | REBECCA KAHRS |
| Credential | DNP, APRN, FNP-BC |
| Practice Address |
951 N Washington Ave Hospitalist Dept Titusville FL 32796 |
| Mailing Address |
805 Century Medical Dr Ste C Titusville FL 32796-2100 |
| Practice Telephone | 3212686111 |
| Mailing Telephone | 3212686264 |
| Mailing Fax Number | 3212686273 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN11003234 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11003234 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
951 N WASHINGTON AVE HOSPITALIST DEPT |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324986 | Arvind Alex D'cruz | Psychiatry & Neurology | 951 N Washington Ave, Pmg. Hospitalist.neurology Dept, Titusville, FL 32796-2163 | 2005-05-24 |
| 1376169243 | Erin Keane Brown | Speech-Language Pathologist | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-06-17 |
| 1124649025 | Bliss Hahn Drinkwater | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-05-01 |
| 1285255224 | Nicole Yacobino | Physical Therapy Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-30 |
| 1619597135 | Robert Fray | Physical Therapist | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-24 |
| 1851910301 | Leonardo Ramon Hughes | Physical Therapy Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-15 |
| 1841771524 | Kristen Kennedy | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-08-22 |
| 1881180503 | Brittany Lynn Maynard | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-07-05 |
| 1699277673 | Jennifer Marie Watts | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-03-06 |
| 1508371535 | Sarah Milliken | Speech-Language Pathologist | 951 N Washington Ave, Titusville, FL 32796-2163 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819157 | Toya Ann Alder | Nurse Practitioner | 250 Harrison Street, Parrish Healthcare, Titusville, FL 32780 | 2018-08-02 |
| 1649564642 | Kimberly Evangelista Lundquist | Nurse Practitioner | 3300 Dairy Rd, Indian River Medical Office Pa, Titusville, FL 32796-1512 | 2011-06-07 |
| 1144523853 | Nicholas Christopher Paul | Nurse Practitioner | 875 Century Medical Dr, Titusville, FL 32796-2142 | 2010-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
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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.