Individual provider Active NPI

Karla Yanitza Rodriguez Garcia, APRN

  • Gerontology Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1205475431
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11005603 Issued in FL
Practice address
2938 Tanzanite Ter
Kissimmee, FL 34758-2550
Phone
(939) 383-9927
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11005603 FL Primary

Addresses

Primary practice location

2938 Tanzanite Ter
Kissimmee, FL 34758-2550

Mailing address

2938 Tanzanite Ter
Kissimmee, FL 34758-2550
Phone (939) 383-9927

Other identifiers 1

IdentifierTypeStateIssuer
APRN11005603OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005603FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flawless Aesthetics, Inc Gerontology Current Accepting new patients
Usrc Southeast Sarasota LLC Past Accepting new patients

Organizations & group practices 2

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1205475431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 TANZANITE TER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582550",
            "telephone_number": "939-383-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 TANZANITE TER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582550",
            "telephone_number": "939-383-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GARCIA",
        "first_name": "KARLA",
        "middle_name": "YANITZA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11005603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN11005603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.