Individual provider Active NPI

Karen G Molina Melendez, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1366194938
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018689 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308
Phone
(407) 932-6193
Fax
(407) 932-6194
NPI assigned
Jan 25, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 APRN11018689 FL Primary
Emergency Registered Nurse 163WE0003X RN9509060 FL

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308

Mailing address

2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308
Phone (407) 932-6193

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
I20220503000057 FL Practitioner - Nurse Practitioner 5092102590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9509060FLMDEmergency Registered Nurse
APRN11018689FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Single Specialty CurrentSince Dec 5, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 5, 2022 Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 302
Kissimmee, FL 34744
Phone (407) 932-6193

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Organizations & group practices 2

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366194938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA MELENDEZ",
        "first_name": "KAREN",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018689",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9509060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.