Active NPI
Kameko Hazley McGuire, DNP, PMHNP-BC, NP-C
- Nurse Practitioner
- Mary Esther, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9246434
- Practice address
- 124 E Miracle Strip Pkwy Ste 202
Mary Esther, FL 32569-1990 - Phone
- (850) 226-8096
- NPI assigned
- Jan 26, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 827112 | TX | |
| Nurse Practitioner | 363L00000X | AP122701 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP122701 | TX | |
| Nurse Practitioner | 363L00000X | ARNP9246434 | FL | Primary |
Addresses
Primary practice location
124 E Miracle Strip Pkwy Ste 202
Mary Esther, FL 32569-1990
Mailing address
124 E Miracle Strip Pkwy Ste 202
Mary Esther, FL 32569-1990
Phone (850) 226-8096
Other names 1
- Ms. Kameko D Hazley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9246434 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turner Healthcare PLLC | Current | Accepting new patients | |
| Dr. McGuire, NP LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Jamison Professional Counseling Center Inc | Past | Accepting new patients |
Locations
3002 N Myrtle Ave
Ste 1
Jacksonville, FL 32209
Phone (619) 578-3763
124 E Miracle Strip Pkwy
Ste 202
Mary Esther, FL 32569
Phone (850) 226-8096
Organizations & group practices 3
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.
-
dba New Hope Mental Health and Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Mary Esther, FL
- NPI 1881318376
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1154971075
-
- Clinical Social Worker
- Fredericksburg, TX
- NPI 1104994284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1134425986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY STE 202",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691990",
"telephone_number": "850-226-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY STE 202",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691990",
"telephone_number": "850-226-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "KAMEKO",
"middle_name": "HAZLEY",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP-BC, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-26",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "827112",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP122701",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP122701",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9246434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMEKO",
"last_name": "HAZLEY",
"middle_name": "D",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.