Individual provider Active NPI

Lackson Msoba Kaunda, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1215716915
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029155 Issued in FL
Practice address
3051 Greystone Loop Unit 108
Kissimmee, FL 34741-7790
Phone
(407) 419-0744
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 95033439 CA
Family Nurse Practitioner 363LF0000X 11029155 FL Primary

Addresses

Primary practice location

3051 Greystone Loop Unit 108
Kissimmee, FL 34741-7790

Mailing address

3051 Greystone Loop Unit 108
Kissimmee, FL 34741-7790
Phone (407) 419-0744

Other practice location 1

3800 Kilroy Airport Way Ste 270
Long Beach, CA 90806-2497
Phone (949) 366-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240319003115 FL Practitioner - Nurse Practitioner 5698112266 Reassigns benefits to 1 organization
I20250311000837 CA Practitioner - Nurse Practitioner 5698112266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

1424 Hummingbird Way
Banning, CA 92220-7206
Phone (626) 250-4912

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95033439CAMDFamily Nurse Practitioner
11029155FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of California PC Family CurrentSince Jan 2, 2026 Accepting new patients
Harbor Wound Care P.C. CurrentSince Nov 28, 2025 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Feb 1, 2024 Accepting new patients
Housecall Doctors Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Empire Wound Care CurrentSince Jun 9, 2025 Accepting new patients
Albion Medical Partners of California West P C CurrentSince Aug 4, 2025 Accepting new patients
Global Wound Care Medical Group CurrentSince Mar 31, 2025 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

4401 Atlantic Ave
Ste 200
Long Beach, CA 90807
Phone (562) 984-2038

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

Interoperability endpoints

  • Direct secure messaging: lackson.kaunda.1@33925.direct.athenahealth.com

Organizations & group practices 7

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1215716915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 GREYSTONE LOOP UNIT 108",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417790",
            "telephone_number": "407-419-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 GREYSTONE LOOP UNIT 108",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417790",
            "telephone_number": "407-419-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Kilroy Airport Way Ste 270",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062497",
            "country_code": "US",
            "telephone_number": "949-366-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUNDA",
        "first_name": "LACKSON",
        "middle_name": "MSOBA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033439",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.