Active NPI
Kayla John, APRN
- Family Nurse Practitioner
- Palm Beach Gardens, FL
National Provider Identifier
1437771458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11019849
- Practice address
- 11020 Rca Center Dr Ste 2010
Palm Beach Gardens, FL 33410-4277 - Phone
- (561) 881-8800
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 59831 | KY | |
| Nurse Practitioner | 363L00000X | APRN.CNP.026550 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026550 | OH | |
| Family Nurse Practitioner | 363LF0000X | 71011128A | IN | |
| Family Nurse Practitioner | 363LF0000X | APRN11019849 | FL | Primary |
Addresses
Primary practice location
11020 Rca Center Dr Ste 2010
Palm Beach Gardens, FL 33410-4277
Mailing address
900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 232-1180
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026550 | OH | MD | Nurse Practitioner |
| APRN11019849 | FL | MD | Family Nurse Practitioner |
| 71011128A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1669873733
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1437771458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 290",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104552",
"telephone_number": "239-232-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 RCA CENTER DR STE 2010",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104277",
"telephone_number": "561-881-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "KAYLA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "59831",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.026550",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026550",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011128A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11019849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.