Individual provider Active NPI

Kimberly Navarro, WHNP, CNM

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1144635848
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11019953 Issued in FL
Practice address
13001 Founders Square Dr FL 2
Orlando, FL 32828-7709
Phone
(862) 571-0636
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95005837 CA
Advanced Practice Midwife 367A00000X APRN11019953 FL
Nurse Practitioner 363L00000X APRN11019953 FL Primary
Nurse Practitioner 363L00000X 95005837 CA

Addresses

Primary practice location

13001 Founders Square Dr FL 2
Orlando, FL 32828-7709

Mailing address

942 Oak Chase Dr
Orlando, FL 32828-8276
Phone (862) 571-0636

Other practice location 1

1045 W Redondo Beach Blvd Ste 138
Gardena, CA 90247-4104
Phone (310) 323-2273

Other practice location 2

1600 Campus Rd
Los Angeles, CA 90041-3314
Phone (323) 259-2657

Other practice location 3

57 US Highway 46 Ste 300
Hackettstown, NJ 07840-2695
Phone (908) 509-1801

Other practice location 4

3200 Hillsdale Ln
Kissimmee, FL 34741-7562
Phone (407) 703-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190624003326 CA Practitioner - Nurse Practitioner 0648504779 Reassigns benefits to 2 organizations
I20231129001669 FL Practitioner - Nurse Practitioner 0648504779 Practice locations: Orlando, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005837CAMDNurse Practitioner
APRN11019953FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine CurrentSince Jun 17, 2019 Accepting new patients
University of California Irvine CurrentSince Jun 17, 2019 Accepting new patients
Regents of the University of CurrentSince Jun 17, 2019 Accepting new patients
In Touch Health and Wellness Advanced Practice Midwife CurrentSince Sep 24, 2023 Accepting new patients
University of California Irvine Past Accepting new patients
Hackettstown Midwives Nurse Practitioner Past Accepting new patients
Eugene Allen MD Inc Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

3200 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 273-8680

13001 Founders Square Dr
Fl 2
Orlando, FL 32828
Phone (862) 571-0636

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1144635848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 OAK CHASE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288276",
            "telephone_number": "862-571-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 FOUNDERS SQUARE DR FL 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287709",
            "telephone_number": "862-571-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Redondo Beach Blvd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902474104",
            "country_code": "US",
            "telephone_number": "310-323-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413314",
            "country_code": "US",
            "telephone_number": "323-259-2657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 US Highway 46 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078402695",
            "country_code": "US",
            "telephone_number": "908-509-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Hillsdale Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417562",
            "country_code": "US",
            "telephone_number": "407-703-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "KIMBERLY",
        "credential": "WHNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95005837",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11019953",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019953",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.