Individual provider Active NPI

Kandi Zielinski

  • Family Nurse Practitioner
  • Alva, FL
National Provider Identifier
1336821693
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028035 Issued in FL
Practice address
1851 Brown Rd
Alva, FL 33920-3444
Phone
(239) 823-8651
NPI assigned
Aug 4, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11028035 FL Primary
Registered Nurse 163W00000X 9339186 FL

Addresses

Primary practice location

1851 Brown Rd
Alva, FL 33920-3444

Mailing address

1851 Brown Rd
Alva, FL 33920-3444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004348 FL Practitioner - Nurse Practitioner 2668823998 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9339186FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Natalia Capote MD LLC CurrentSince Sep 26, 2024 Accepting new patients
Mobile Wound Care of Florida Family CurrentSince May 24, 2024 Accepting new patients
Southwest Florida Mobile Wound Care LLC Family CurrentSince Dec 18, 2023 Accepting new patients
SWFL Mobile Wound Care LLC CurrentSince Dec 8, 2024 Accepting new patients
Wound NP LLC Family CurrentSince Nov 18, 2024 Accepting new patients

Locations

13468 Palm Beach Blvd
Ste B
Fort Myers, FL 33905
Phone (239) 823-8651

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1336821693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 BROWN RD",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 BROWN RD",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203444",
            "telephone_number": "239-823-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "KANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028035",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9339186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alva, FL

Sources for this page

Verify at the official NPI Registry.