Kelly Kay Cordova, LMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA 42178 Issued in FL

Practice address

2121 N Bayshore Dr
Suite 1106
Miami, FL 33137-5123

Phone

(786) 290-7979

NPI assigned

Jan 30, 2007

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

Other names 1

• Ms. Kelly Kay Cordova Professional name

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184761496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N BAYSHORE DR",
            "address_2": "SUITE 1106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375123",
            "telephone_number": "786-290-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BAYSHORE DR",
            "address_2": "SUITE 1106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375123",
            "telephone_number": "786-290-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA 42178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CORDOVA",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlos A. Cordova, LMHC
• Evangeline Datu Cordova, APRN
• Jose E Cordova
• Karen Madeleine Cordova
• Karla Denise Cordova
• Layss Cordova
• Lianettee Barbara Cordova
• Luis Michel Cordova
• Matthew Moses Cordova
• Sheila Cordova

• Contractor in Miami, FL
• Providers in Miami, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.