Ka Yin McCallister, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP9220549 Issued in FL

Practice address

1410 W Broadway St
Suite 104
Oviedo, FL 32765-6456

Phone

(407) 977-1135

Fax

(407) 977-9946

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1154650133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 WINDING LAKE CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655650",
            "telephone_number": "407-365-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST",
            "address_2": "SUITE 104",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656456",
            "telephone_number": "407-977-1135",
            "fax_number": "407-977-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "KA",
        "middle_name": "YIN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9220549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Denise Matolka, MS, CCC/L-SLP
• Maria Carolina Matrak
• Maxlife Health and Wellness Center
• Morgan Farran Mays, M.A., CCC-SLP
• Mazon Sales Associates, LLC
• Tammy McCallister, LMHC
• Sydney Marie McColley, LMT
• Gary Dallas McDonald, OD
• Savanna Holley McDowell, DPT
• Ellissa Rose McGinness, PT, DPT

• Pediatric Nurse Practitioner in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.