Jacqueline K Kemokai, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN3218022 Issued in FL

Practice address

10720 Dixon Dr
Riverview, FL 33579-7406

Phone

(813) 442-0280

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Winlin Care Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Riverview, FL
  • NPI 1982358016
  NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1144973686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 DIXON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797406",
            "telephone_number": "813-442-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 DIXON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797406",
            "telephone_number": "813-442-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMOKAI",
        "first_name": "JACQUELINE",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN3218022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony David Kelley, D.MIN., LMFT
• Heather Kelley
• Kelly Kellner, APRN
• Kellogg Endodontics, P.a.
• David Kellogg, D.D.S., M.S.
• Andrea Kemp
• Lovely Kennedy
• Gertrude Erwin Kensinger, RN
• Summer Victoria Kessel, RD
• Wavaney M Kettle, RN

• Administrator Registered Nurse in Riverview, FL
• Providers in Riverview, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.