DEBORAH KIMBLE (NPI# 1760600290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760600290 |
| Entity Type | Individual |
| Full Name | DEBORAH KIMBLE |
| Credential | LD CDE MSPH CPT |
| Practice Address |
4851 Lake Shore Dr Saint Cloud FL 34772-7577 |
| Practice Telephone | 4079730037 |
| Practice Fax Number | 4079571186 |
| Mailing Telephone | 4079730037 |
| Mailing Fax Number | 4079571186 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND1612 | FL | Dietary & Nutritional Service Providers |
| Street Address |
4851 LAKE SHORE DR |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-7577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237919 | Emma M Backes | Dietitian, Registered | 32006 Northwood Ln, Saint Cloud, MN 56303-9517 | 2020-08-31 |
| 1023660818 | Heidi Grace Haukos | Dietitian, Registered | 1702 14th Ave S, Saint Cloud, MN 56301-5607 | 2019-07-11 |
| 1285167098 | Aimee Olson | Dietitian, Registered | 1900 Centracare Cir Ste 2400, Saint Cloud, MN 56303-5000 | 2017-04-07 |
| 1508221581 | Sabrina Daniela Jarrett | Dietitian, Registered | 3383 Celena Cir, Saint Cloud, FL 34769-5911 | 2015-12-17 |
| 1407245541 | Rosa Corday | Dietitian, Registered | 1508 Pine Marsh Loop, Saint Cloud, FL 34771-7406 | 2015-01-13 |
| 1427482892 | Dona Beranek Anderson | Dietitian, Registered | 1900 Centracare Cir # 2400, Centracare Clinic Health Plaza/gastroenterology, Saint Cloud, MN 56303-5000 | 2013-08-21 |
| 1962687830 | Paula Kay Redemske | Dietitian, Registered | 1900 Centracare Cir Ste 2550, Saint Cloud, MN 56303-5000 | 2008-01-09 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1629681119 | Morgan Nan Matter | Dietitian, Registered | 1900 Centracare Cir Ste 2400, Saint Cloud, MN 56303-5000 | 2020-08-25 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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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.