Kencare Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KENCARE CLINIC

Practice address

813 Lindsey PL
Lake Wales, FL 33853-3576

Phone

(863) 348-0997

Fax

(863) 474-0777

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Felicia Thomas, APRNNPI 1104474758

Title

Owner

Phone

(863) 348-0997

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Thomas

  • Nurse Practitioner
  • Lake Wales, FL
  • NPI 1104474758
  NPD (past) Authorized official

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1134043847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LINDSEY PL",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533576",
            "telephone_number": "863-348-0997",
            "fax_number": "863-474-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 LINDSEY PL",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533576",
            "telephone_number": "863-348-0997",
            "fax_number": "863-474-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-348-0997",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jwlex, LLC
• Peter G Kalogridis II, MPT
• Kanumuri Medical Group PA
• Nageswararao V Kanumuri, MD
• Karen N Phillipps MD PA
• Kevin T Barlow, PA. Dba: Winter Haven Audiology and Ridge Audiology.
• Morgan Brianna Kidwell, PA
• Jonathan Bradford King, DMD
• Felicia Knighton, HHA
• Raymond R Knisley, DO

• All providers in Lake Wales, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.