Individual provider Active NPI

Kali Garcia Malpica, ARNP

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1457993586
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003836 Issued in FL
Practice address
1853 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530
Phone
(772) 237-5244
Fax
(772) 905-8047
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003836 FL Primary

Addresses

Primary practice location

1853 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530

Mailing address

1853 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530
Phone (772) 237-5244

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
I20200410001971 FL Practitioner - Nurse Practitioner 9931538089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1853 SE Port Saint Lucie Blvd
Port Saint Lucie, FL 34952-5530
Phone (772) 237-5244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers, Inc. Family Medicine CurrentSince Feb 10, 2020 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Feb 10, 2020 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients

Locations

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1457993586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-237-5244",
            "fax_number": "772-905-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-237-5244",
            "fax_number": "772-905-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MALPICA",
        "first_name": "KALI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.