Active NPI
Kinyatta Brown
- Health Educator
- Tampa, FL
National Provider Identifier
1467047795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 265484
- Practice address
- 13375 Arbor Pointe Cir Apt 101
Tampa, FL 33617-1141 - Phone
- (312) 296-7384
- NPI assigned
- Mar 8, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Health Educator | 174H00000X | 265484 | SC | Primary |
Addresses
Primary practice location
13375 Arbor Pointe Cir Apt 101
Tampa, FL 33617-1141
Mailing address
13375 Arbor Pointe Cir Apt 101
Tampa, FL 33617-1141
Phone (312) 296-7384
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265484 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate4Excellence Inc | Health Educator | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616284800000",
"number": "1467047795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13375 ARBOR POINTE CIR APT 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171141",
"telephone_number": "312-296-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13375 ARBOR POINTE CIR APT 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171141",
"telephone_number": "312-296-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KINYATTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-21",
"certification_date": "2021-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "SC",
"license": "265484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.