Look up the most recent NPI and PECOS records

Kimkare2u

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8615 Ardenwood Ct, Trinity, FL 34655-5337

(727) 858-1133

PECOS Enrollment

Based on the most recent information from CMS, provider Kimkare2u does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1184029084
Provider Type
Organization
Full Name
Kimkare2u

Subpart
No
Enumeration Date
11/4/2014
Last Updated
11/4/2014

Contact Information

Practice Location

8615 Ardenwood Ct, Trinity, FL 34655-5337

(727) 858-1133

Unlisted Fax

Mailing Location

8615 Ardenwood Ct, Trinity, FL 34655-5337

(727) 858-1133

Unlisted Fax

Authorized Official

Weierheiser, Kimberly Brennan (Nurse Practitioner)

(727) 858-1133

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNPFO313216 Florida

Kimkare2u

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Christmann, Bianca

Sawyer, Jerrica

Jonas, Rebecca A

Zagorodny, Alisa

Comiskey, Michele

Taylor, Julie Anne

Falcon, Andrea Marie

Passman, Linda Jean

Stewart, Rachel

Geyvandova, Yana