Lucia V Kodan, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3006432 Issued in FL

Practice address

1701 NE 191 Street
Suite a 401
North Miami Beach, FL 33179

Phone

(305) 588-4258

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kajaal Medical Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • N Miami Beach, FL
  • NPI 1477734234

  Single Specialty

  NPD (past) Authorized official
• Emilio Mantero-Atienza MD PA

  • Psychiatry Physician
  • Miami Beach, FL
  • NPI 1316038714

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1659402949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 191ST ST",
            "address_2": "SUITE -A 401",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794200",
            "telephone_number": "305-588-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NE 191 STREET",
            "address_2": "SUITE A 401",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-588-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODAN",
        "first_name": "LUCIA",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3006432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Deborah King, DO
• Sandra M Klein, PSY.D.
• Yocheved S Kleinerman
• Knock Your Socks Off Foot & Ankle Specialist LLC
• Frederick Ernest Knoll, DDS
• Natalia Kogan, DC, ARNP
• Xiang Kong
• Maxime Korner
• Melanie Korner
• Brianne Kornetti

• Psychiatric/Mental Health Nurse Practitioner in North Miami Beach, FL
• Providers in North Miami Beach, 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 Dec 13, 2007; 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.