Malayika Safi Groomes-Powell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000199 Issued in FL

Practice address

4052 Bald Cypress Way
Tallahassee, FL 32399-7017

Phone

(850) 245-4126

NPI assigned

Dec 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Department of Health

  dba Leon County Health Department

  • Public Health or Welfare Agency
  • Tallahassee, FL
  • NPI 1568428837
  Medicare reassignment NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1407328479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 BALD CYPRESS WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323997017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 BALD CYPRESS WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323997017",
            "telephone_number": "850-245-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMES-POWELL",
        "first_name": "MALAYIKA",
        "middle_name": "SAFI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN11000199",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL INSURANCE",
            "identifier": "APRN11000199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Grissom
• Kaitlyn Maree Griswold
• Patricia Eileen Gritta, DC
• Stacia Kutter Groll, M.D.
• Kimberly E Gromatski, L.M.T.
• Benjamin James Grooters, DDS
• Joshua M Gross, PH.D.
• Kimberly J Gross, PA-C
• Kaitlyn Marie Grosvenor, CCC-SLP
• Grow Together Coaching

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.