BRANDON KVISTAD (NPI# 1942837034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942837034 |
Entity Type | Individual |
Full Name | BRANDON KVISTAD |
Credential | RN |
Practice Address |
206 2nd St E Bradenton FL 34208-1042 |
Mailing Address |
101 3rd Ave W Unit 1217 Bradenton FL 34205-8692 |
Practice Telephone | 6302901274 |
Mailing Telephone | 6302901274 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN9476815 | FL | Nursing Service Providers |
Street Address |
206 2ND ST E |
City | BRADENTON |
State | FL |
Zip Code | 34208-1042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275522997 | Lawrence George Manco | Radiology | 206 2nd St E, Bradenton, FL 34208-1042 | 2005-10-14 |
1801494117 | Sarah Louise Harper | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-10-09 |
1467067371 | Jessica Shacklett | Nurse Practitioner | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-09-09 |
1528680808 | Harrison Browning | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-10 |
1467073254 | Juan Dangond Gomez | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-03 |
1821619289 | Maniekha Maharaj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-27 |
1063033447 | Melissa Vilar | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-27 |
1659991040 | Klaudio Alla | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-26 |
1376163733 | Ahmed Ali Alhassani | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-25 |
1821618331 | Shivan Ramsamooj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
Find all providers in zip 34208 |
Taxonomy Code | 163WE0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Emergency |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013316777 | Teresa Fox | Registered Nurse | 4419 56th St W, Bradenton, FL 34210-2715 | 2014-08-19 |
1407270788 | Michael J Damato Jr. | Registered Nurse | 5008 Sr 64 East, Bradenton, FL 34208 | 2014-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363764 | Solomon Oluwadare Ajijo | Registered Nurse | 9960 Altis Cir W Unit 4201, Hialeah, FL 33018-6099 | 2020-10-11 |
1326645607 | Rachel Joan Shaver | Registered Nurse | 32 Ocean Dr, Key Largo, FL 33037-4034 | 2020-10-08 |
1457979627 | Jessica Garrano | Registered Nurse | 548 Elgin Blvd, Davenport, FL 33897-4466 | 2020-07-13 |
1780208629 | Ivan Martinez | Registered Nurse | 2108 N Ola Ave Unit 718, Tampa, FL 33602-2026 | 2020-06-06 |
1295357044 | Katia Lourdes Pena | Registered Nurse | 18200 Sw 100th St, Miami, FL 33196-1735 | 2020-05-15 |
1528687993 | Jorge O Vargas | Registered Nurse | 11836 Sw 26th St, Miramar, FL 33025-0779 | 2020-04-15 |
1184243115 | Judith Pacheco | Registered Nurse | 1065 W 76th St Apt 138, Hialeah, FL 33014-3927 | 2020-04-09 |
1467088633 | Elizabeth Nino | Registered Nurse | 1110 Pine Ridge Rd Ste 201, Naples, FL 34108-8927 | 2020-03-19 |
1053952580 | Giuliana Altare | Registered Nurse | 12147 Sw 140th Ter, Miami, FL 33186-6072 | 2019-10-06 |
1881235059 | Matthew Reynolds | Registered Nurse | 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | 2019-09-30 |
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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.