Kap Wellness Center Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KAP WELLNESS CENTER INC

Practice address

7500 Cypress Gardens Blvd
Winter Haven, FL 33884-3200

Phone

(863) 875-6063

Fax

(863) 875-6063

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Paul Estrada, APRN, MSNNPI 1659708840

Title

Owner

Phone

(863) 875-6063

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul J Estrada, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1659708840
  NPD Authorized official
• George Michael Northrup, M.D.

  • Specialist
  • Tampa, FL
  • NPI 1629006507
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1588499883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843200",
            "telephone_number": "863-875-6063",
            "fax_number": "863-875-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843200",
            "telephone_number": "863-875-6063",
            "fax_number": "863-875-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAP WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-875-6063",
        "authorized_official_credential": "APRN, MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Justus, LMT
• K Wade Foster MD PA
• Ahmad Kaako, MD, MBA, FACP
• Susan Marie Kane, PT, ATC
• Satyapriya Kanumuri, M.D.,
• Kapaali Holdings LLC
• Karma Healthcare LLC
• Karma Healthcare LLC
• Anna Frances Kauderman, O.D.
• Valerie Kauffman, LHMC

• Psychiatric/Mental Health Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, 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 Sep 5, 2024; 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.