Kimberly Disharoon Stitik, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP3399052 Issued in FL

Practice address

2211 60TH St W
Bradenton, FL 34209-5569

Phone

(941) 761-0663

Fax

(941) 761-3347

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Coast Pediatrics

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1710235569
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1821135047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10167 CHERRY HILLS AVENUE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024046",
            "telephone_number": "941-727-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 60TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095569",
            "telephone_number": "941-761-0663",
            "fax_number": "941-761-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITIK",
        "first_name": "KIMBERLY",
        "middle_name": "DISHAROON",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3399052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen E Stiles, PA-C
• Stephen Michael Still
• Emma Stiltz, FNP-C
• Mary E. Stinson, LMHC
• Robert Anthonly Stipanov, PA
• Stephanie Stivers
• Christopher Raymond Stock, D.D.S.
• Allison Stockford
• Margaret Mary Stoklosa, LMHC
• Stone Wellness LLC

• Pediatric Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.