Active NPI
Khadijah Giles
- Developmental Disabilities Clinic/Center
- Lehigh Acres, FL
National Provider Identifier
1609365022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 2818 19TH St W
Lehigh Acres, FL 33971-5579 - Phone
- (239) 634-7939
- NPI assigned
- May 2, 2018
- 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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | FL | Primary |
Addresses
Primary practice location
2818 19TH St W
Lehigh Acres, FL 33971-5579
Mailing address
2818 19TH St W
Lehigh Acres, FL 33971-5579
Phone (239) 634-7939
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 |
|---|---|---|---|
| Loved Ones | Developmental Disabilities | 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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Fort Myers, FL
- NPI 1194668087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1609365022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 19TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339715579",
"telephone_number": "239-634-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 19TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339715579",
"telephone_number": "239-634-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "KHADIJAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.