Individual provider Active NPI

Kawamen Levey Odiete

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1578181970
Registry record updated Jul 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006159 Issued in FL
Practice address
29325 SW 182ND Ave
Homestead, FL 33030-3007
Phone
(786) 371-6368
NPI assigned
Jul 12, 2020
Last updated
Jul 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006159 FL Primary

Addresses

Primary practice location

29325 SW 182ND Ave
Homestead, FL 33030-3007

Mailing address

29325 SW 182ND Ave
Homestead, FL 33030-3007
Phone (786) 371-6368

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602003102 FL Practitioner - Nurse Practitioner 0840709796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Internal Medicine AssociatesGroup PAC ID 2062681786, 7 clinicians

Practice addresses (Care Compare)

1899 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401
Phone 9547257291107

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006159FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Internal Medicine Associates CurrentSince May 1, 2025 Accepting new patients

Locations

1899 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 725-7291

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFCD
  • Direct secure messaging: kawamen.odiete@115443077021700.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594512000000",
    "number": "1578181970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 SW 182ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303007",
            "telephone_number": "786-371-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29325 SW 182ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303007",
            "telephone_number": "786-371-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIETE",
        "first_name": "KAWAMEN",
        "middle_name": "LEVEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-12",
        "last_updated": "2020-07-12",
        "certification_date": "2020-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.