Individual provider Active NPI

Kayla Miranda, APRN

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1003773334
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11044488 Issued in FL
Practice address
1855 Veterans Park Dr Ste 103
Naples, FL 34109-0446
Phone
(239) 596-5220
Fax
(239) 596-5222
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11044488 FL Primary

Addresses

Primary practice location

1855 Veterans Park Dr Ste 103
Naples, FL 34109-0446

Mailing address

1701 Highway A1A Ste 300
Vero Beach, FL 32963-2263
Phone (561) 320-0996

Other practice location 1

4525 Thomasson Dr Ste 103
Naples, FL 34112-6963
Phone (239) 732-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001555 FL Practitioner - Nurse Practitioner 0840779104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2255 Glades Rd
Suite 228W
Boca Raton, FL 33431-7391

2255 Glades Rd
Suite 228W
Boca Raton, FL 33431-8535

2675 Winkler Ave
Suite 200
Fort Myers, FL 33901-9328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11044488FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Feb 13, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 13, 2026 Accepting new patients

Locations

2675 Winkler Ave
Ste 200
Fort Myers, FL 33901

4525 Thomasson Dr
Ste 103
Naples, FL 34112
Phone (239) 732-1050

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1003773334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 HIGHWAY A1A STE 300",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632263",
            "telephone_number": "561-320-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-596-5220",
            "fax_number": "239-596-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 Thomasson Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341126963",
            "country_code": "US",
            "telephone_number": "239-732-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11044488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.