Individual provider Active NPI

Kyle Walker Maldonado, ARNP

  • Family Nurse Practitioner
  • Oldsmar, FL
National Provider Identifier
1225319114
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9272839 Issued in FL
Practice address
3870 Tampa Rd Ste D
Oldsmar, FL 34677-3133
Phone
(813) 336-4949
Fax
(813) 336-4946
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9272839 FL Primary

Addresses

Primary practice location

3870 Tampa Rd Ste D
Oldsmar, FL 34677-3133

Mailing address

3870 Tampa Rd Ste D
Oldsmar, FL 34677-3133
Phone (813) 336-4949

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
I20120120000722 FL Practitioner - Nurse Practitioner 6406023126 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care & Wellness Services Inc CurrentSince Jun 29, 2020 Accepting new patients

Locations

3870 Tampa Rd
Ste D
Oldsmar, FL 34677
Phone (813) 336-4949

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJDAA

Organizations & group practices 1

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1225319114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 TAMPA RD STE D",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773133",
            "telephone_number": "813-336-4949",
            "fax_number": "813-336-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 TAMPA RD STE D",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773133",
            "telephone_number": "813-336-4949",
            "fax_number": "813-336-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "KYLE",
        "middle_name": "WALKER",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9272839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.