Individual provider Active NPI

Kameko Hazley McGuire, DNP, PMHNP-BC, NP-C

  • Nurse Practitioner
  • Mary Esther, FL
National Provider Identifier
1134425986
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9246434 Issued in FL
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

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9246434FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turner Healthcare PLLC CurrentSince Sep 15, 2019 Accepting new patients
Dr. McGuire, NP LLC Psychiatric/Mental Health CurrentSince Oct 2, 2022 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.

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

Verify at the official NPI Registry.