Active NPI
Melinda Kim Doyle, ARNP
- Family Nurse Practitioner
- Leesburg, FL
National Provider Identifier
1265742332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3307302
- Practice address
- 511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328 - Phone
- (352) 728-6808
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10284 | CO | |
| Family Nurse Practitioner | 363LF0000X | ARNP3307302 | FL | Primary |
Addresses
Primary practice location
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Mailing address
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Phone (352) 728-6808
Other names 1
- Ms. Kim Doyle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10284 | CO | MD | General Practice Dentistry |
| ARNP3307302 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290211200000",
"number": "1265742332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487328",
"telephone_number": "352-728-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR STE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487328",
"telephone_number": "352-728-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "MELINDA",
"middle_name": "KIM",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "10284",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3307302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "DOYLE",
"prefix": "MS.",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.