Individual provider Active NPI

Kevin K Joseph, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1396369716
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11007326 Issued in FL
Practice address
14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207
Phone
(954) 309-8215
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007326 FL Primary

Addresses

Primary practice location

14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207

Mailing address

14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207
Phone (954) 309-8215

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
I20201110000825 FL Practitioner - Nurse Practitioner 3678983202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marriage and Family Services IncGroup PAC ID 5294060984, 7 clinicians

Practice addresses (Care Compare)

14201 W Sunrise Blvd
Sunrise, FL 33323-3207
Phone (954) 932-7500

15204 S Jog Rd
Suite 303
Delray Beach, FL 33446-2171
Phone (561) 503-3059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007326FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Pushka MD PA Psychiatric/Mental Health CurrentSince Feb 11, 2021 Accepting new patients
Insight Psychiatric Services P.a. Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Marriage & Family Services, Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

15204 S Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 503-3059

7369 Sheridan St
Ste 203
Hollywood, FL 33024
Phone (954) 369-4111

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

14201 W Sunrise Blvd
Ste 208
Sunrise, FL 33323
Phone (754) 581-2064

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1396369716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-309-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-309-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KEVIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.