MS. KIMBERLY DISHAROON STITIK (NPI# 1821135047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821135047 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY DISHAROON STITIK |
| Credential | ARNP |
| Practice Address |
2211 60th St W Bradenton FL 34209-5569 |
| Mailing Address |
10167 Cherry Hills Avenue Cir Bradenton FL 34202-4046 |
| Practice Telephone | 9417610663 |
| Practice Fax Number | 9417613347 |
| Mailing Telephone | 9417270810 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP3399052 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2211 60TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225073422 | Constance M Charles-logan | Specialist | 2211 60th St W, Bradenton, FL 34209-5569 | 2006-06-19 |
| 1710235569 | West Coast Pediatrics | Pediatrics | 2211 60th St W, Bradenton, FL 34209-5569 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186305 | Kay Louise Stump | Nurse Practitioner | 1862 Rye Rd, Suite101, Bradenton, FL 34212-9038 | 2007-02-02 |
| 1245208586 | Melinda Jane Downes | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2006-03-11 |
| 1790777860 | Loris Dover Barton | Nurse Practitioner | 712 39th St W, Manatee Pediatrics, Bradenton, FL 34205-2454 | 2005-08-16 |
| 1942650320 | Mary Walter | Nurse Practitioner | 712 39th St W, Bradenton, FL 34205-2454 | 2016-06-16 |
| 1962822841 | Alexandra Fasula Lambert | Nurse Practitioner | 5255 Office Park Blvd Ste 110, Bradenton, Bradenton, FL 34203-3443 | 2014-04-18 |
| 1083987226 | Laura Isola | Nurse Practitioner | 4764 E State Road 64, Bradenton, FL 34208-9058 | 2012-02-20 |
| 1477854503 | Joy D Felton | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2010-11-05 |
| 1760450985 | Martha Phipps Nichol | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
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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.