Kimberly Nicole Amigo, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Aventura, FL
NPI 1124669635 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1124669635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN11004309 (FL)
- Practice address
- 20801 Biscayne Blvd Ste 201
Aventura, FL 33180-1422 - Phone
- (305) 682-2670
- Fax
- (305) 792-5232
- NPI assigned
- Oct 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- South Broward Hospital District
Practice addresses (Care Compare)
1150 N 35TH Ave
Suite 590
Hollywood, FL 33021-5468
Phone (954) 265-9500
20801 Biscayne Blvd
Suite 200
Aventura, FL 33180-1422
Phone (954) 682-2900
4302 Alton Rd
Suite 330
Miami Beach, FL 33140-2818
Phone (305) 532-2464
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital Miramar
- Memorial Hospital Pembroke
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191127001471 | FL | Practitioner - Nurse Practitioner | 2769815000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current |
Accepting new patients | |
| South Broward Hospital District | Current |
Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
20801 Biscayne Blvd
Ste 201
Aventura, FL 33180
Phone (305) 682-2740
20801 Biscayne Blvd
Ste 200
Aventura, FL 33180
Phone (954) 265-3015
1150 N 35th Ave
Ste 590
Hollywood, FL 33021
Phone (954) 265-9500
2063 Biscayne Blvd
Ste 501
Miami, FL 33137
Phone (954) 265-7700
4302 Alton Rd
Ste 330
Miami Beach, FL 33140
Phone (305) 532-2464
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
Interoperability endpoints
- klakey224359@mhsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11004309 | FL | Yes |
Addresses
Primary practice location
20801 Biscayne Blvd Ste 201
Aventura, FL 33180-1422
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104727800 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klakey224359@MHSDIRECT.NET | Direct |
Other providers in Aventura, FL
- Ahmed Amer
- American Management Service Organization LLC
- American Mane LLC
- American Rio Transportation
- Ameripath Hospital Services Florida LLC
- Amikam Zighelboim Nieman & Goodman MD P a
- Vivek Vipul Amin
- Rotem Amir
- Rebecca Amster
- Andrew P Amunategui
All providers in Aventura, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.