Active NPI
Kalynn Drake
- Student in an Organized Health Care Education/Training Program
- Miami, FL
National Provider Identifier
1104786862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- XXXXXX
- Practice address
- 779 SW 9TH Ave
Miami, FL 33130 - Phone
- (833) 210-4080
- NPI assigned
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | XXXXXX | FL | Primary |
Addresses
Primary practice location
779 SW 9TH Ave
Miami, FL 33130
Mailing address
5793 County Road 248
O Brien, FL 32071-4148
Phone (833) 210-4080
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
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXX | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1104786862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5793 COUNTY ROAD 248",
"city": "O BRIEN",
"state": "FL",
"postal_code": "320714148",
"telephone_number": "833-210-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 SW 9TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33130",
"telephone_number": "833-210-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "KALYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "XXXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.