Individual provider Active NPI

Kayla Patrice Sims

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1649028697
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032891 Issued in FL
Practice address
2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404
Phone
(850) 250-0021
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 11032891 FL Primary

Addresses

Primary practice location

2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404

Mailing address

1623 Caleigh CT
Lynn Haven, FL 32444-8344
Phone (850) 319-6296

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
I20240806000472 FL Practitioner - Nurse Practitioner 1254878416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Point Healthcare Urgent Care LLCGroup PAC ID 1951783455, 7 clinicians

Practice addresses (Care Compare)

2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404
Phone (850) 250-0021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032891FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Point Healthcare Urgent Care LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2306 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 250-0021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29184/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kayla.sims.1@29184.direct.athenahealth.com

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1649028697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 CALEIGH CT",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324448344",
            "telephone_number": "850-319-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054404",
            "telephone_number": "850-250-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "KAYLA",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.