Active NPI
Kia A Diamond
- Pediatric Nurse Practitioner
- Orlando, FL
National Provider Identifier
1295303261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11011794
- Practice address
- 92 W Miller St
Orlando, FL 32806-2032 - Phone
- (407) 496-9111
- NPI assigned
- Jun 15, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11011794 | FL | Primary |
| Pediatrics Physician | 208000000X | APRN11011794 | FL |
Addresses
Primary practice location
92 W Miller St
Orlando, FL 32806-2032
Mailing address
92 W Miller St
Orlando, FL 32806-2036
Phone (407) 649-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N.A | Other | FL | KIA SMALL |
Other names 1
- Kia A Small
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kiasmall93 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
Interoperability endpoints
- ksmall256212@orlandohealth.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1295303261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062036",
"telephone_number": "407-649-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062032",
"telephone_number": "407-496-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "KIA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11011794",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "APRN11011794",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KIA SMALL",
"identifier": "N.A",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kiasmall93",
"affiliation": "N",
"endpointDescription": "personal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "92 W Miller St",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328062032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIA",
"last_name": "SMALL",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.