Individual provider Active NPI

Kara B Kweder

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1467816728
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9335254 Issued in FL
Practice address
7051 Dr Phillips Blvd Ste 1
Orlando, FL 32819-5140
Phone
(407) 345-9929
Fax
(407) 447-8969
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9335254 FL Primary

Addresses

Primary practice location

7051 Dr Phillips Blvd Ste 1
Orlando, FL 32819-5140

Mailing address

7051 Dr Phillips Blvd Ste 1
Orlando, FL 32819-5140
Phone (407) 345-9929

Other identifiers 1

IdentifierTypeStateIssuer
017381200MedicaidFL

Other names 1

  • Kara Goldman Former name

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

LicenseStateTypeSpecialty
ARNP9335254FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1467816728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-345-9929",
            "fax_number": "407-345-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-345-9929",
            "fax_number": "407-447-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEDER",
        "first_name": "KARA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9335254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017381200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "GOLDMAN",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.