Provider Demographics
NPI:1396969846
Name:GIMPELEVICH, NATALIE KEMPER (ARNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:KEMPER
Last Name:GIMPELEVICH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:J
Other - Last Name:KEMPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1 TAMPA GENERAL CIR
Mailing Address - Street 2:HMT CARDIOLOGY
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3571
Mailing Address - Country:US
Mailing Address - Phone:813-251-0793
Mailing Address - Fax:813-844-1988
Practice Address - Street 1:1 TAMPA GENERAL CIR
Practice Address - Street 2:HMT CARDIOLOGY
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:813-251-0793
Practice Address - Fax:813-844-1988
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9236841363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308538400Medicaid
FL308538400Medicaid