Active NPI
KC Quality Care
- Health Service Clinic/Center
- Orlando, FL
National Provider Identifier
1073159752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | sanjean | Direct |
National Provider Directory
National Provider DirectoryNPI 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.