Kamoi Kiklevich, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11002083 Issued in FL

Practice address

3090 N Course Dr Apt 612
Pompano Beach, FL 33069-3327

Phone

(786) 624-9315

NPI assigned

Apr 10, 2019

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1235692716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 STIRLING RD APT 112",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241555",
            "telephone_number": "786-624-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 N COURSE DR APT 612",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693327",
            "telephone_number": "786-624-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKLEVICH",
        "first_name": "KAMOI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.