Individual provider Active NPI

Melissa Suzanne Kuba, ARNP-BC

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1245475151
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3269492 Issued in FL
Practice address
1402 Oak St
Melbourne, FL 32901-3113
Phone
(321) 722-3288
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3269492 FL Primary

Addresses

Primary practice location

1402 Oak St
Melbourne, FL 32901-3113

Mailing address

8078 Kingswood Way
Melbourne, FL 32940-2191
Phone (321) 795-2586

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
I20160315002131 FL Order and Referring Only - Nurse Practitioner 5193021426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3269492FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Passion Quest, Inc. Past Accepting new patients
Charles H Croft MD PA PastSince Jan 1, 2017 Accepting new patients

Interoperability endpoints

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

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": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1245475151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 KINGSWOOD WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402191",
            "telephone_number": "321-795-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013113",
            "telephone_number": "321-722-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBA",
        "first_name": "MELISSA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3269492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.