Individual provider Active NPI

Kayla Allen, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1679330260
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031098 Issued in FL
Practice address
116 E Poinsettia St
Lakeland, FL 33803-2919
Phone
(863) 669-7745
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 11031098 FL Primary

Addresses

Primary practice location

116 E Poinsettia St
Lakeland, FL 33803-2919

Mailing address

PO Box 2094
Lakeland, FL 33806-2094
Phone (863) 669-7745

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
I20240429001688 FL Practitioner - Nurse Practitioner 2264872969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 E Minnesota Ave
Orange City, FL 32763-2312
Phone (386) 316-5439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031098FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Hospitalists PL CurrentSince Apr 1, 2024 Accepting new patients
Primary Care of Orange City LLC Family CurrentSince Jun 4, 2025 Accepting new patients
Primary Care of Orange City LLC CurrentSince Jun 4, 2025 Accepting new patients
Home Docs Family CurrentSince Jun 4, 2025 Accepting new patients
Primary Care of Oc LLC CurrentSince Jun 4, 2025 Accepting new patients

Locations

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kayla.allen.1@24896.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1679330260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2094",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338062094",
            "telephone_number": "863-669-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E POINSETTIA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032919",
            "telephone_number": "863-669-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.