Individual provider Active NPI

Kamiah Wynn Mann, APRN, FNP-C

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1477433506
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11042589 Issued in FL
Practice address
2650 Municipal Way
Tallahassee, FL 32304-3804
Phone
(448) 241-9009
Fax
(850) 388-6141
NPI assigned
Sep 8, 2025
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11042589 FL Primary

Addresses

Primary practice location

2650 Municipal Way
Tallahassee, FL 32304-3804

Mailing address

2650 Municipal Way
Tallahassee, FL 32304-3804
Phone (448) 241-9009

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
I20260226004517 FL Practitioner - Nurse Practitioner 4183105158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor United Group IncGroup PAC ID 0547696452, 10 clinicians

Practice addresses (Care Compare)

2650 Major James Morgan Jr Way
Tallahassee, FL 32304-3830
Phone (877) 384-6337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11042589FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor United Group Inc Single Specialty CurrentSince Dec 16, 2025 Accepting new patients
Javier Garcia, DNP Medical Office, Inc Single Specialty Current Accepting new patients

Locations

2150 W 76th St
Ste 100
Hialeah, FL 33016
Phone (786) 655-0529

1498 NW 54th St
Unit C
Miami, FL 33142
Phone (305) 603-8200

6105 NW 7th Ave
Miami, FL 33127
Phone (786) 655-0529

714 NW 62nd St
Miami, FL 33150
Phone (305) 603-8200

3300 W Colonial Dr
Orlando, FL 32808
Phone (866) 745-8049

2650 Major James Morgan Jr Way
Tallahassee, FL 32304
Phone (786) 655-0529

Organizations & group practices 2

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1477433506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 MUNICIPAL WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043804",
            "telephone_number": "448-241-9009",
            "fax_number": "850-388-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 MUNICIPAL WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043804",
            "telephone_number": "448-241-9009",
            "fax_number": "850-388-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KAMIAH",
        "middle_name": "WYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11042589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.