KIM CZERWINSKI (NPI# 1760959811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760959811 |
| Entity Type | Individual |
| Full Name | KIM CZERWINSKI |
| Credential | MSN, APRN, AGNP-C |
| Practice Address |
386 Se Cork Rd Port St Lucie FL 34984-6309 |
| Practice Telephone | 7723233073 |
| Mailing Telephone | 7723233073 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11000009 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
386 SE CORK RD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| 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 |
|---|---|---|---|---|
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1043823644 | Jose Ruben Aldo Dawson | Nurse Practitioner | 656 Sw Munjack Cv, Port St Lucie, FL 34986-4530 | 2020-08-25 |
| 1629533674 | Angela Renea Trodglen | Nurse Practitioner | 1801 Se Hillmoor Dr Ste C-207, Port St Lucie, FL 34952-7574 | 2019-02-04 |
| 1104381490 | Taisha Johnson | Nurse Practitioner | 1893 Sw Kimberly Ave, Port St Lucie, FL 34953-1020 | 2019-01-31 |
| 1659835437 | Mirlange Odies Fleuriot | Nurse Practitioner | 2242 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4577 | 2019-01-25 |
| 1316453244 | Kathleen Anne Gribbon | Nurse Practitioner | 2518 Se Pineland Dr, Port St Lucie, FL 34952-8045 | 2017-12-14 |
| 1982121646 | Natasha Bienaime | Nurse Practitioner | 1018 Sw Facet Ave, Port St Lucie, FL 34953 | 2017-08-24 |
| 1760843304 | Tania Burey Mclean | Nurse Practitioner | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2016-03-09 |
| 1801264577 | Shelita Dunlap | Nurse Practitioner | 10023 S Us Highway 1 Ste A, Port St Lucie, FL 34952-5643 | 2015-09-10 |
| 1447587944 | Susan M Prendergast | Nurse Practitioner | 3533 Sw Vincennes St, Port St Lucie, FL 34953-3771 | 2009-11-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
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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.