Active NPI
Elaine I Kinder, ARNP
- Nurse Practitioner
- Bushnell, FL
National Provider Identifier
1316002249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3204652
- Practice address
- 212 S Florida St
Bushnell, FL 33513-6703 - Phone
- (352) 793-2441
- Fax
- (352) 793-3282
- NPI assigned
- Dec 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3204652 | FL | Primary |
Addresses
Primary practice location
212 S Florida St
Bushnell, FL 33513-6703
Mailing address
117 W Alexander St
PMB # 387
Plant City, FL 33563
Phone (813) 754-7756
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660209600 | Other | FL | MEDICAID GROUP NUMBER |
| Y6709 | Other | FL | BCBS |
| 302165300 | Medicaid | FL | |
| 35207U | Other | FL | MEDICARE GROUP NUMBER |
| 500008032 | Other | FL | MEDICARE RAILROAD |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3204652 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1316002249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W ALEXANDER ST",
"address_2": "PMB # 387",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "33563",
"telephone_number": "813-754-7756",
"fax_number": "813-754-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S FLORIDA ST",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335136703",
"telephone_number": "352-793-2441",
"fax_number": "352-793-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDER",
"first_name": "ELAINE",
"middle_name": "I",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3204652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "660209600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y6709",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302165300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "35207U",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "500008032",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bushnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.