Individual provider Active NPI

Keishla Marco, APRN

  • Family Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1538049325
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042000 Issued in FL
Practice address
33044 US Hwy 27 N
Haines City, FL 33844-7621
Phone
(863) 422-4977
Fax
(833) 450-4573
NPI assigned
Sep 3, 2025
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11042000 FL Primary

Addresses

Primary practice location

33044 US Hwy 27 N
Haines City, FL 33844-7621

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 635-2190

Other practice location 1

826 San Pedro Ct
Kissimmee, FL 34758-4014
Phone (787) 667-5184

Other practice location 2

105 S Dixie Dr
Haines City, FL 33844-2844
Phone (863) 421-1190

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
APRN11042000FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1538049325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-635-2190",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33044 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447621",
            "telephone_number": "863-422-4977",
            "fax_number": "833-450-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 San Pedro Ct",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347584014",
            "country_code": "US",
            "telephone_number": "787-667-5184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Dixie Dr",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338442844",
            "country_code": "US",
            "telephone_number": "863-421-1190",
            "fax_number": "833-450-5402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCO",
        "first_name": "KEISHLA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.