K C Nurse Registry

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

K C NURSE REGISTRY

Practice address

6635 S Florida Ave # C-2
Lakeland, FL 33813-3354

Phone

(813) 525-3878

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Bernard O Spooner, RN

Title

Administrator

Phone

(813) 992-7867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1063016889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 S FLORIDA AVE # C-2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133354",
            "telephone_number": "813-525-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 S FLORIDA AVE # C-2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133354",
            "telephone_number": "813-525-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C NURSE REGISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-992-7867",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan O Bravo
• Elizabeth Ashley Judy, PHARMD
• You S Jung, PHARM D
• Brian Michael Jurbala, M.D.
• Panayotis Jusakos, MD
• K.C. Home Health LLC
• K&K Loving Hands LLC
• K&K Loving Hands LLC
• Baynazir Kabir, APRN
• Rajnikant M Kadiwar, M.D., F.A.C.P.

• Nursing Care Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.