Organization Active NPI

Kira Health & Wellness LLC

  • Family Nurse Practitioner
  • Wimauma, FL
National Provider Identifier
1265266159
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Yarelis Gonzalez Pantoja, APRNNPI 1841838711
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250211003326 FL Part B Supplier - Clinic/Group Practice 9436689072 Receives reassigned benefits from 1 practitioner
Practice locations: Wimauma, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.