K a Comprehensive Medical and Psychiatric Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES

Practice address

6801 Lake Worth Rd Ste 219
Greenacres, FL 33467-2966

Phone

(561) 328-8420

Fax

(561) 828-2884

NPI assigned

Jan 17, 2020

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Acelise Alexis, FNP

Title

Ceo

Phone

(561) 410-4180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1558991646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LAKE WORTH RD STE 219",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672966",
            "telephone_number": "561-328-8420",
            "fax_number": "561-828-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LAKE WORTH RD STE 219",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672966",
            "telephone_number": "561-328-8420",
            "fax_number": "561-828-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "ACELISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-410-4180",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD, SUNSHINE, MEDICARE, UHC, AETNA, CIGNA",
            "identifier": "APRN9203914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.