Active NPI
Kira Health & Wellness LLC
- Family Nurse Practitioner
- Wimauma, FL
National Provider Identifier
1265266159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- KIRA HEALTH & WELLNESS LLC
- Practice address
- 16706 Carlton Pond St
Wimauma, FL 33598-2436 - Phone
- (832) 276-3119
- NPI assigned
- Sep 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yarelis Gonzalez Pantoja, APRN
- Title
- Aprn
- Phone
- (832) 276-3119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
16706 Carlton Pond St
Wimauma, FL 33598-2436
Mailing address
16706 Carlton Pond St
Wimauma, FL 33598-2436
Phone (832) 276-3119
Other practice location 1
16706 Carlton Pond St
Wimauma, FL 33598-2436
Phone (832) 276-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wimauma, FL
- NPI 1841838711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1265266159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16706 CARLTON POND ST",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335982436",
"telephone_number": "832-276-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16706 CARLTON POND ST",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335982436",
"telephone_number": "832-276-3119"
}
],
"practiceLocations": [
{
"address_1": "16706 Carlton Pond St",
"address_purpose": "LOCATION",
"city": "Wimauma",
"state": "FL",
"postal_code": "335982436",
"country_code": "US",
"telephone_number": "832-276-3119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIRA HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A",
"authorized_official_last_name": "GONZALEZ PANTOJA",
"authorized_official_first_name": "YARELIS",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "832-276-3119",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.