Active NPI
Karla K Mioduchoski, ARNP
- Family Nurse Practitioner
- Tamarac, FL
National Provider Identifier
1578228045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011694
- Practice address
- 7421 N University Dr Ste 306
Tamarac, FL 33321-6102 - Phone
- (954) 721-8945
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11011694 | FL | Primary |
Addresses
Primary practice location
7421 N University Dr Ste 306
Tamarac, FL 33321-6102
Mailing address
995 Riverside Dr Apt 110
Coral Springs, FL 33071-7020
Phone (954) 203-8795
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011694 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kareology LLC | Current | 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": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1578228045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 RIVERSIDE DR APT 110",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330717020",
"telephone_number": "954-203-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR STE 306",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333216102",
"telephone_number": "954-721-8945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIODUCHOSKI",
"first_name": "KARLA",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Millenium Healthcare Diagnostics, Inc. (Florida Open MRI)
- Trisoni Miller
- Milord Quantum Solutions
- Mimi Divine Home Care Services LLC
- Mindful Psychiatry & Home Health , LLC.
- Evenie Frantzdia Miralles, MSN, APRN, AGACNP-BC
- Miranda Healing Group (MLR Healing)
- Alexander Miranda, LMHC
- Gaspar Miranda, MD
- Mireya Toquica DMD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.