Individual provider Active NPI

Lascelles Kirby, RN

  • Case Management Registered Nurse
  • Miami, FL
National Provider Identifier
1639923915
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN9213651 Issued in FL
Practice address
14261 SW 120TH St Ste 108-531
Miami, FL 33186-7270
Phone
(954) 248-0096
Fax
(954) 516-0677
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN9213651 FL Primary
Peritoneal Dialysis Registered Nurse 163WD1100X RN9213651 FL
Case Manager/Care Coordinator 171M00000X RN9213651 FL
Cardiac Rehabilitation Registered Nurse 163WC3500X RN9213651 FL

Addresses

Primary practice location

14261 SW 120TH St Ste 108-531
Miami, FL 33186-7270

Mailing address

14261 SW 120TH St Ste 108-531
Miami, FL 33186-7270
Phone (954) 248-0096

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9213651FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Utilization Consultants LLC Current Accepting new patients
Med Care Outreach Inc Current Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1639923915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 108-531",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867270",
            "telephone_number": "954-248-0096",
            "fax_number": "954-686-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 108-531",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867270",
            "telephone_number": "954-248-0096",
            "fax_number": "954-516-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "LASCELLES",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9213651",
            "primary": true
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "FL",
            "license": "RN9213651",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "RN9213651",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "FL",
            "license": "RN9213651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; 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.