Individual provider Active NPI

Kara Lynn Malaghan, CPNP-PC

  • Pediatric Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1194351635
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11006042 Issued in FL
Practice address
10359 Cross Creek Blvd
Tampa, FL 33647-2772
Phone
(813) 994-0044
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11006042 FL Primary

Addresses

Primary practice location

10359 Cross Creek Blvd
Tampa, FL 33647-2772

Mailing address

19522 Broad Shore Walk
Loxahatchee, FL 33470-2169
Phone (813) 505-2414

Other names 1

  • Mrs. Kara Lynn Bradt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006042FLMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kbradt1004166@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1194351635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19522 BROAD SHORE WALK",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702169",
            "telephone_number": "813-505-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 CROSS CREEK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472772",
            "telephone_number": "813-994-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGHAN",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11006042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "BRADT",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "CNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.