Active NPI
Kaley McNabb, BSN, RN, MSN, FNP-C
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9324622
- Practice address
- 6117 Gunn Hwy
Tampa, FL 33625-4013 - Phone
- (813) 978-9700
- NPI assigned
- Jul 4, 2018
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9324622 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9324622 | FL | Primary |
| Orthopedic Registered Nurse | 163WX0800X | 9324622 | FL |
Addresses
Primary practice location
6117 Gunn Hwy
Tampa, FL 33625-4013
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700
Other practice location 1
3001 W Dr Mlk Blvd
Tampa, FL 33607-6307
Phone (813) 357-1720
Other practice location 2
3001 W Dr Mlk Blvd
Tampa, FL 33607-6307
Phone (813) 357-1720
Other practice location 3
2352 Bruce B Downs Blvd Ste 102
Wesley Chapel, FL 33544
Phone (813) 979-0440
Other names 1
- Kaley Goodman
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9324622 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients |
Locations
2020 Town Center Blvd
Ste D
Brandon, FL 33511
Phone (813) 973-8400
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
6117 Gunn Hwy
Tampa, FL 33625
Phone (318) 675-5805
6117 Gunn Hwy
Fl Orthopaedic
Tampa, FL 33625
13020 N Telecom Pkwy
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
2653 Bruce B Downs Blvd
Ste 201
Wesley Chapel, FL 33544
Phone (813) 910-3368
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- kmcnabb182366@direct.tgh.org
Organizations & group practices 6
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.
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
dba Tallahassee Orthopedic Clinic
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
-
dba Florida Orthopaedic Institute
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1518453331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370915",
"telephone_number": "813-978-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6117 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254013",
"telephone_number": "813-978-9700"
}
],
"practiceLocations": [
{
"address_1": "3001 W Dr Mlk Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076307",
"country_code": "US",
"telephone_number": "813-357-1720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3001 W Dr Mlk Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076307",
"country_code": "US",
"telephone_number": "813-357-1720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2352 Bruce B Downs Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "33544",
"country_code": "US",
"telephone_number": "813-979-0440",
"fax_number": "813-355-5044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNABB",
"first_name": "KALEY",
"name_prefix": "Mrs.",
"credential": "BSN, RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-04",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9324622",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9324622",
"primary": true
},
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "FL",
"license": "9324622",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALEY",
"last_name": "GOODMAN",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.