KATHRYN CHARLOTTE ANDERSON GRAVENSTEIN (NPI# 1851772438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851772438 |
| Entity Type | Individual |
| Full Name | KATHRYN CHARLOTTE ANDERSON GRAVENSTEIN |
| Other Name | KATHRYN CHARLOTTE ANDERSON |
| Credential | PA |
| Practice Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0915 |
| Practice Telephone | 8139789700 |
| Mailing Telephone | 8139789700 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108773 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | PA9108773 | 01 |
| FL | 015355200 | 05 |
| Street Address |
13020 N TELECOM PKWY |
| City | TEMPLE TERRACE |
| State | FL |
| Zip Code | 33637-0915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790739 | Amy Beth Mckamy | Occupational Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-06-16 |
| 1720690639 | Madison Hackman | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-08-21 |
| 1053920470 | Lindsay Ann Landry | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-07-31 |
| 1184242091 | Christopher Zamudio | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-07-07 |
| 1487208351 | Natalie Cammisa | Occupational Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-07-30 |
| 1306498761 | Ishvinder Singh Grewal | Orthopaedic Surgery | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2019-07-15 |
| 1477115814 | Joseph Mathew | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-07-06 |
| 1194386938 | Erica Franklin | Nurse Practitioner | 13020 N Telecom Pkwy, Temple Terrace, FL 33637 | 2019-06-24 |
| 1972064483 | Hetali Binoy Shah | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-03-27 |
| 1265990022 | Sandra Pizzurro | Nurse Practitioner | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703626 | Lake Magdalene Emergency Physicians LLC | Physician Assistant | 5234 E Fowler Ave, Temple Terrace, FL 33617-2147 | 2017-11-15 |
| 1689057317 | Amanda Floyd | Physician Assistant | 13006 Purdue Pl, Temple Terrace, FL 33617-1046 | 2015-06-30 |
| 1699024562 | Jennifer Lynn Moore | Physician Assistant | 5802 E Fowler Ave, Temple Terrace, FL 33617-3300 | 2012-09-06 |
| 1811950330 | Mary Frances Krueger | Physician Assistant | 13067 Telecom Parkway N, Temple Terrace, FL 33637 | 2006-04-07 |
| 1376900621 | Amber Cheyenne Casellas | Physician Assistant | 12479 Telecom Dr, Temple Terrace, FL 33637-0913 | 2016-01-18 |
| 1700263746 | Jaclyn J Stevens | Physician Assistant | 12479 Telecom Dr, Temple Terrace, FL 33637-0913 | 2015-04-29 |
| 1801219282 | Jonathan Gude | Physician Assistant | 13067 Telecom Parkway N, Temple Terrace, FL 33637 | 2014-01-21 |
| 1023441763 | Nathan Bevan | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2013-08-16 |
| 1619243383 | Matthew A Scott | Physician Assistant | 12479 Telecom Dr, Temple Terrace, FL 33637-0913 | 2012-03-28 |
| 1265748438 | Jared C Stinebeck | Physician Assistant | 12479 Telecom Dr, Temple Terrace, FL 33637-0913 | 2010-08-26 |
| Find all providers in TEMPLE TERRACE | ||||
| City | TEMPLE TERRACE |
| Zip Code | 33637 |
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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.