Active NPI
KC Wellness Nurse Registry Inc
- Nursing Care Agency
- Pembroke Pines, FL
National Provider Identifier
1396137980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- KC WELLNESS NURSE REGISTRY INC
- Practice address
- 1900 N University Dr Ste 102
Pembroke Pines, FL 33024-3618 - Phone
- (954) 560-9766
- Fax
- (954) 323-2449
- NPI assigned
- Feb 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Curtis, RN
- Title
- President
- Phone
- (954) 560-9766
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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| VA Clinic/Center | 261QV0200X | |||
| Health Maintenance Organization | 302R00000X | |||
| Skilled Nursing Facility | 314000000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X |
Addresses
Primary practice location
1900 N University Dr Ste 102
Pembroke Pines, FL 33024-3618
Mailing address
880 SW 190TH Ave
Pembroke Pines, FL 33029-6057
Phone (954) 560-9766
National Provider Directory
National Provider DirectoryLocations
21113 Johnson St
Ste 117
Pembroke Pines, FL 33029
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Pembroke Pines, FL
- NPI 1750629358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613692800000",
"number": "1396137980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 SW 190TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330296057",
"telephone_number": "954-560-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N UNIVERSITY DR STE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243618",
"telephone_number": "954-560-9766",
"fax_number": "954-323-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC WELLNESS NURSE REGISTRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-560-9766",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.