Active NPI
Kelly Marie Cabana, ARNP
- Family Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9165075
- Practice address
- 107 W 19TH St
Panama City, FL 32405-4647 - Phone
- (850) 785-3040
- Fax
- (850) 785-2552
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9165075 | FL | Primary |
Addresses
Primary practice location
107 W 19TH St
Panama City, FL 32405-4647
Mailing address
5041 N 12TH Ave
Pensacola, FL 32504-8916
Phone (850) 433-2155
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
638 Harrison Ave
Suite 102
Panama City, FL 32401-2662
Phone (850) 895-0224
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitas Solutions Inc | Current | Accepting new patients | |
| Covenant Hospice Inc | Past | Accepting new patients |
Locations
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
638 Harrison Ave
Ste 102
Panama City, FL 32401
Phone (850) 558-4400
255 E 5th St
Ste 1050
Cincinnati, OH 45202
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
-
- Community Based Hospice Care Agency
- Fort Walton Beach, FL
- NPI 1023173432
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1235404641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048916",
"telephone_number": "850-433-2155",
"fax_number": "850-202-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054647",
"telephone_number": "850-785-3040",
"fax_number": "850-785-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANA",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9165075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.