Individual provider Active NPI

Kaitlin Larrieu, NP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1386016483
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9335160 Issued in FL
Practice address
12955 SW 112TH St
Miami, FL 33186
Phone
(305) 812-2322
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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 9335160 FL
Family Nurse Practitioner 363LF0000X ARNP9335160 FL Primary

Addresses

Primary practice location

12955 SW 112TH St
Miami, FL 33186

Mailing address

12955 SW 112TH St
Miami, FL 33186-4768
Phone (305) 812-2322

Other practice location 1

3404 SW Archer Rd
Gainesville, FL 32608-2409
Phone (866) 389-2727

Other practice location 2

8765 S Dixie Hwy
Miami, FL 33143-7811
Phone (305) 812-2322

Other practice location 3

8765 S Dixie Hwy
Miami, FL 33143-7811
Phone (305) 812-2322

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

State licenses

LicenseStateTypeSpecialty
9335160FLMDFamily Nurse Practitioner
ARNP9335160FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1386016483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864768",
            "telephone_number": "305-812-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-812-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3404 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326082409",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8765 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331437811",
            "country_code": "US",
            "telephone_number": "305-812-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8765 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331437811",
            "country_code": "US",
            "telephone_number": "305-812-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARRIEU",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9335160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9335160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.