Kathleen Beatrice King Services Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SW 13403 Issued in FL

Legal business name

KATHLEEN BEATRICE KING SERVICES INC

Practice address

20340 NW 29TH CT
Miami Gardens, FL 33056-1903

Phone

(305) 305-2326

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl J Waterman, LCSW, PH.DNPI 1144753104

Title

President

Phone

(305) 305-2326

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Waterman

  • Clinical Social Worker
  • Miami Gardens, FL
  • NPI 1144753104
  Medicare reassignment Authorized official
• Heather Maureen Brathwaite, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1083628028
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1255799441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20340 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561903",
            "telephone_number": "305-305-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20340 NW 29TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561903",
            "telephone_number": "305-305-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN BEATRICE KING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-305-2326",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, PH.D"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "FL",
            "license": "SW 13403",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW 13403",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SW 13403",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "SW 13403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "SW 13403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel O Junard, D.C, N.MD
• Idalia Junco, RBT-20-133734
• Marena Justo Gomez
• Melody Nicole Kaigler, RDN/LDN
• Elise Karnegis, RD, LDN
• KCL Behavior LLC
• KD Establishments
• Cristine Desiree Keller, P.T.
• Chiqueta T Kendrick, RN
• Kiyunii Kendrick

• Early Intervention Provider Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.