Active NPI
Rola Kanawati, CPMA
- Specialist
- Palm Harbor, FL
National Provider Identifier
1558765263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 52-44-1497310
- Practice address
- 30669 N US Hwy #19, Suite 409
Palm Harbor, FL 34684 - Phone
- (727) 846-3719
- NPI assigned
- Oct 9, 2014
- Last updated
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 52-44-1497310 | FL | Primary |
Addresses
Primary practice location
30669 N US Hwy #19, Suite 409
Palm Harbor, FL 34684
Mailing address
2223 Fox Chase Blvd
Palm Harbor, FL 34683-2330
Phone (727) 846-3719
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Introspekts Wellness Group | Past | Accepting new patients |
Organizations & group practices 1
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": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1558765263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 FOX CHASE BLVD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346832330",
"telephone_number": "727-846-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30669 N US HWY #19, SUITE 409",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-846-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAWATI",
"first_name": "ROLA",
"credential": "CPMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "52-44-1497310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.