Active NPI
Kathy Kavala, RN
- Registered Nurse
- Pompano Beach, FL
National Provider Identifier
1265893564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 871942
- Practice address
- 2500 NW 29TH MNR
Pompano Beach, FL 33069-1031 - Phone
- (954) 229-1369
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 871942 | FL | Primary |
Addresses
Primary practice location
2500 NW 29TH MNR
Pompano Beach, FL 33069-1031
Mailing address
4151 Sanora LN
Ormond Beach, FL 32174-9335
Phone (407) 579-3123
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 871942 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1265893564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 SANORA LN",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749335",
"telephone_number": "407-579-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NW 29TH MNR",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330691031",
"telephone_number": "954-229-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVALA",
"first_name": "KATHY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 871942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.