Individual provider Active NPI

Keila Yamicha Stilwell-Hernandez, OT

  • Occupational Therapist
  • Homestead, FL
National Provider Identifier
1033420088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16059 Issued in FL
Practice address
151 NW 11TH St Ste W201
Homestead, FL 33030-4361
Phone
(786) 269-6117
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1532 TN
Occupational Therapist 225X00000X 16059 FL Primary

Addresses

Primary practice location

151 NW 11TH St Ste W201
Homestead, FL 33030-4361

Mailing address

27925 SW 165TH Ave
Homestead, FL 33031-2854
Phone (386) 837-5405

Other identifiers 1

IdentifierTypeStateIssuer
1033420088MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16059FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch All Health, LLC PastSince Mar 31, 2022 Accepting new patients

Organizations & group practices 1

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033420088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27925 SW 165TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330312854",
            "telephone_number": "386-837-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE W201",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304361",
            "telephone_number": "786-269-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILWELL-HERNANDEZ",
        "first_name": "KEILA",
        "middle_name": "YAMICHA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1532",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "16059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033420088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.