Individual provider Active NPI

Melinda Louise Kirkland, RN

  • General Practice Registered Nurse
  • Miami, FL
National Provider Identifier
1659014363
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
9335063 Issued in FL
Practice address
11740 SW 80TH St Ste 102
Miami, FL 33183-4822
Phone
(786) 235-8534
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 9335063 FL Primary

Addresses

Primary practice location

11740 SW 80TH St Ste 102
Miami, FL 33183-4822

Mailing address

11436 N County Road 125
Glen St Mary, FL 32040-3906
Phone (904) 586-6950

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
9335063FLMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CDR Health Care Inc CurrentSince Dec 13, 2022 Accepting new patients

Locations

11740 SW 80th St
Ste 102
Miami, FL 33183

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.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1659014363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11436 N COUNTY ROAD 125",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320403906",
            "telephone_number": "904-586-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SW 80TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834822",
            "telephone_number": "786-235-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "MELINDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9335063",
            "primary": true
        }
    ],
    "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 Apr 20, 2022; 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.