Individual provider Active NPI

Kayleen Bechara, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1215663752
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11010915 Issued in FL
Practice address
12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906
Phone
(954) 887-0951
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010915 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010915 FL Primary

Addresses

Primary practice location

12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906

Mailing address

12835 SW 54TH St
Miramar, FL 33027-5563
Phone (786) 714-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205000834 FL Practitioner - Nurse Practitioner 1355877093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monumental Health Partners LLCGroup PAC ID 2062892367, 3 clinicians

Practice addresses (Care Compare)

2863 Executive Park Dr
Suite 106
Weston, FL 33331-3647
Phone (954) 887-0951

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010915FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monumental Health Partners LLC Psychiatric/Mental Health CurrentSince Aug 30, 2024 Accepting new patients
American Hospitalist Company PL Past Accepting new patients

Locations

12651 W Sunrise Blvd
Ste 101
Sunrise, FL 33323
Phone (954) 587-7520

2863 Executive Park Dr
Ste 106
Weston, FL 33331
Phone (954) 358-5788

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1215663752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 SW 54TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275563",
            "telephone_number": "786-714-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-887-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHARA",
        "first_name": "KAYLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.