Carol J Kirkland, ARNP, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3002939 Issued in KY

Practice address

4880 N Highway 19a
Suite 200
Mount Dora, FL 32757-2018

Phone

(352) 589-8111

Fax

(352) 589-8495

NPI assigned

Jul 10, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Pediatrics P. a.

  • Rural Health Clinic/Center
  • Mount Dora, FL
  • NPI 1942367370
  NPD (past)
• Sanjiv Gupta M.D. P.S.C.

  • Internal Medicine Physician
  • Grayson, KY
  • NPI 1477562536
  NPD (past)
• Sanjiv Gupta, M.D., P.S.C.

  • Multi-Specialty Clinic/Center
  • Ashland, KY
  • NPI 1932408218
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1033143672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 STATE HIGHWAY 1959",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411437139",
            "telephone_number": "606-474-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N HIGHWAY 19A",
            "address_2": "SUITE 200",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572018",
            "telephone_number": "352-589-8111",
            "fax_number": "352-589-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 9204749",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3002939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LIC NO.",
            "identifier": "1076616",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE NO.",
            "identifier": "ARNP 9204749",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY APRN",
            "identifier": "3002939",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307129400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoonji Kim
• Kimberly Capstraw, LMFT
• Kimbers Care LLC
• Lisa Kingery, R.PH.
• Kinnar R Shah DMD PA
• Jocelyn N Kiss
• Jeffrey Robert Knittel, D.D.S., M.D.
• Mary K Kolacsky
• Kailey Koontz, PA-C
• Josh Kramer

• Pediatric Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, 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 14, 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.