NPIMap

Organization Active NPI

Kiskeya Health Network LLC

  • Primary Care Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1457550675
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KISKEYA HEALTH NETWORK LLC
Practice address
126 N Flagler Ave
Pompano Beach, FL 33060-6635
Phone
(954) 942-7500
Fax
(954) 942-7795
NPI assigned
Jul 17, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Yanique Duval, M.DNPI 1205845757
Title
President
Phone
(561) 687-1304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

126 N Flagler Ave
Pompano Beach, FL 33060-6635

Mailing address

126 N Flagler Ave
Pompano Beach, FL 33060-6635
Phone (954) 942-7500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1457550675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N FLAGLER AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606635",
            "telephone_number": "954-942-7500",
            "fax_number": "954-942-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N FLAGLER AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606635",
            "telephone_number": "954-942-7500",
            "fax_number": "954-942-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISKEYA HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "YANIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-687-1304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.