Kyndall Nyeschelle Mammah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11034450 Issued in FL

Practice address

7580 NW 5TH St Unit 15614
Plantation, FL 33318-8427

Phone

(888) 212-1949

Fax

(888) 281-6026

NPI assigned

Aug 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Diverse Wellness Solutions

  dba Rooted Health Collective

  • Family Nurse Practitioner
  • Plantation, FL
  • NPI 1477347615
  Medicare reassignment NPD Authorized official
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  FL

  Medicare reassignment NPD
• Matrix Medical of New York PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1639433063
  Medicare reassignment NPD

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1558191726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 NW 5TH ST UNIT 15614",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333188427",
            "telephone_number": "888-212-1949",
            "fax_number": "888-281-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NW 5TH ST UNIT 15614",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333188427",
            "telephone_number": "888-212-1949",
            "fax_number": "888-281-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMAH",
        "first_name": "KYNDALL",
        "middle_name": "NYESCHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034450",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F408266-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Ian Maliner, M.D.
• Tracy Mallett, PSYD
• Roshni Mallick, DO
• Gary W Mallow, M.D.
• Dana Malzahn
• Managed Healthcare Medical Group LLC
• Sebastian Meis Austria Manahan, DO
• Vivek Manda
• Amulya Mandavalli
• Mayur Maniar, MD

• Family Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.