Organization Active NPI

KC Quality Care

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1073159752
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KC QUALITY CARE
Practice address
815 24TH St
Orlando, FL 32805-5406
Phone
(407) 704-8857
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Kettia Cherenfant
Title
Nurse Practitioner
Phone
(321) 246-5358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

815 24TH St
Orlando, FL 32805-5406

Mailing address

5979 Vineland Rd Ste 111
Orlando, FL 32819-7855
Phone (321) 246-5358

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL sanjean Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1073159752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "321-246-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 24TH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055406",
            "telephone_number": "407-704-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "CHERENFANT",
        "authorized_official_first_name": "KETTIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "321-246-5358"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "sanjean",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "815 24th St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328055406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.