KIMBERLY KANNENBERG PA-C
NPI 1265777544
Physician Assistant in Delray Beach, FL
NPI Status: Active since November 28, 2012
Contact Information
1425 S CONGRESS AVE
DELRAY BEACH, FL
ZIP 33445
Phone: (561) 330-9363
- Individual
- Female
- Physician Assistant
About KIMBERLY KANNENBERG
This page provides the complete NPI Profile along with additional information for Kimberly Kannenberg, a primary care provider established in Delray Beach, Florida with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1265777544 assigned on November 2012. The practitioner's primary taxonomy code is 363A00000X with license number 9106163 (FL). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1265777544
- Provider Name
- KIMBERLY KANNENBERG PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1425 S CONGRESS AVE DELRAY BEACH, FL 33445
- Location Phone
- (561) 330-9363
- Mailing Address
- 1425 SOUTH CONGRESS AVENUE DELRAY BEACH, FL 33445
- Mailing Phone
- (561) 330-9363
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-28-2012
- Last Update Date
- 06-10-2013
- Code Navigator
A primary care provider (PCP) like Kimberly Kannenberg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 9106163
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 00269 (TX) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 7 | 7 | 7 | 5 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 14 | 7 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 4 + 7 + 1 + 4 + 5 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1265777544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881970168 | DR GS URGENT CARE LLC Organization | Clinic/Center (Urgent Care) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1720338163 | DR G'S PHARMACY, INC Organization | Pharmacy (Community/Retail Pharmacy) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-3146 |
| 1700433265 | CHERYL LYNN VAN HARE PA Individual | Physician Assistant | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 220-1469 |
| 1508464934 | NICOLE M. CAPODIECI APRN Individual | Nurse Practitioner (Family) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1215518568 | JONATHAN PAVICIC Individual | Physician Assistant | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 271-7356 |
| 1902554140 | MS. CASEY N CHANDLER Individual | Nurse Practitioner | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (502) 330-5314 |
| 1265138598 | SAMUEL BAIDA-SPELL PA Individual | Physician Assistant | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1083492250 | MADISON KELLY MSN, APRN, FNP-BC Individual | Nurse Practitioner (Family) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1790462091 | LANTANA NEMORIN Individual | Nurse Practitioner (Family) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1265299291 | STACEY SURACE SOTO Individual | Nurse Practitioner (Family) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (954) 496-6313 |
| 1497459465 | COURTNEY DISTEFANO-MANOLAS MSN, FNP-BC, PCCN Individual | Nurse Practitioner (Family) | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (954) 829-0391 |
| 1831986983 | DR. G'S PRIMARY CARE Organization | Family Medicine | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
| 1366230468 | VERA USANOVA APRN Individual | Nurse Practitioner | 1425 S CONGRESS AVE DELRAY BEACH, FL 33445 (561) 330-9363 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265777544, enumerated in the NPI registry as an "individual" on November 28, 2012
The provider is located at 1425 S Congress Ave Delray Beach, Fl 33445 and the phone number is (561) 330-9363
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
This NPI record was last updated on November 28, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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