KIMBERLY GEOHAGAN (NPI# 1801392642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801392642 |
| Entity Type | Individual |
| Full Name | KIMBERLY GEOHAGAN |
| Credential | MED |
| Practice Address |
1927 Ef Griffin Rd Bartow FL 33830-9721 |
| Practice Telephone | 8637979261 |
| Mailing Telephone | 8637979261 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1927 EF GRIFFIN RD |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-9721 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212179 | Jamie Grandy | Counselor | 1735 W Oakwood Loop, Bartow, FL 33830-7019 | 2020-10-12 |
| 1770114563 | Casey Leigh Johnson | Counselor | 1198 De La Palma Ave, Bartow, FL 33830-7317 | 2020-01-30 |
| 1013442367 | Amber Huddlen | Counselor | 2160 Highland Blvd, Bartow, FL 33830-8413 | 2017-04-25 |
| 1003275884 | Youlaunda Lashawn Wright-speed | Counselor | 555 Forrest Dr, Bartow, FL 33830-3230 | 2016-02-22 |
| 1609270453 | North American Youth Foundation Services, Inc | Counselor | 1255 Gunn Hwy, Bartow, FL 33830-6707 | 2014-10-22 |
| 1053753681 | Joni Irene Nelson | Counselor | 495 S Central Ave, Bartow, FL 33830-4624 | 2013-07-24 |
| 1770877516 | Margo Fleisher | Counselor | 2725 State Road 60 E, Bartow, FL 33830-8872 | 2011-06-08 |
| 1376177469 | Jessica Desantis | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-27 |
| 1447899703 | Dominique Reyes | Counselor | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2020-01-03 |
| 1588201867 | Jennifer Cruz | Counselor | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2019-12-05 |
| Find all providers in BARTOW | ||||
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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.