Individual provider Active NPI

Anne-Marie Laure Moukala-Cadet, DO

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1114086998
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238933 Issued in NY
Practice address
701 Union St
Kissimmee, FL 34741-5007
Phone
(407) 518-5004
Fax
(407) 518-1019
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 238933 NY Primary

Addresses

Primary practice location

701 Union St
Kissimmee, FL 34741-5007

Mailing address

3155 Whisper Wind Dr
Saint Cloud, FL 34771-7876
Phone (607) 373-0072

Other identifiers 1

IdentifierTypeStateIssuer
02794705MedicaidNY

Other names 1

  • Dr. Anne-Marie Laure Moukala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000425 NY Practitioner - Family Practice 2264525088 Practice locations: Binghamton, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc. Family Medicine Past Accepting new patients
F Keith Kennedy MD PC PastSince Jun 8, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1114086998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 WHISPER WIND DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717876",
            "telephone_number": "607-373-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNION ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415007",
            "telephone_number": "407-518-5004",
            "fax_number": "407-518-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKALA-CADET",
        "first_name": "ANNE-MARIE",
        "middle_name": "LAURE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "238933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02794705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE-MARIE",
            "last_name": "MOUKALA",
            "middle_name": "LAURE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.