Organization Active NPI

Dr. Katina Health and Wellness, Inc

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1356940431
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR. KATINA HEALTH AND WELLNESS, INC
Practice address
2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165
Phone
(954) 231-8700
Fax
(954) 231-8707
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Katina P Davis-Kennedy, DNP, FNP, PMHNP-BCNPI 1891953451
Title
Owner and Provider
Phone
(954) 231-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

2901 Coral Hills Dr Ste 330
Coral Springs, FL 33065-4165

Mailing address

719 SW 79TH Ave
North Lauderdale, FL 33068-2244
Phone (954) 231-8700

Other identifiers 1

IdentifierTypeStateIssuer
109060600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KatinaDKennedy@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124002553 FL Part B Supplier - Clinic/Group Practice 1456762301 Receives reassigned benefits from 6 practitioners
Practice locations: Coral Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2204231Dr Katina Health and Wellness2901 Coral Hills Drive Suite 330, Coral Springs, FL 33065Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

2901 Coral Hills Dr
Ste 330
Coral Springs, FL 33065
Phone (954) 231-8700

6191 W Atlantic Blvd
Ste 3
Margate, FL 33063

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1356940431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SW 79TH AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682244",
            "telephone_number": "954-231-8700",
            "fax_number": "954-231-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DR STE 330",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654165",
            "telephone_number": "954-231-8700",
            "fax_number": "954-231-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATINA HEALTH AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS-KENNEDY",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "954-231-8700",
        "authorized_official_credential": "DNP, FNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109060600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KatinaDKennedy@gmail.com",
            "affiliation": "N",
            "address_1": "2901 Coral Hills Dr Ste 330",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330654165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.