Active NPI
Kayla Allen, APRN
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11031098
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11031098 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Hospitalists PL | Current | Accepting new patients | |
| Primary Care of Orange City LLC | Family | Current | Accepting new patients |
| Primary Care of Orange City LLC | Current | Accepting new patients | |
| Home Docs | Family | Current | Accepting new patients |
| Primary Care of Oc LLC | Current | 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
- https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Orange City, FL
- NPI 1831615087
-
- Hospitalist Physician
- Lakeland, FL
- NPI 1457389587
-
- Family Nurse Practitioner
- Orange City, FL
- NPI 1518347038
-
- Family Medicine Physician
- Orange City, FL
- NPI 1790541456
-
dba Home Wound Care Florida
- Nurse Practitioner
- Orange City, FL
- NPI 1972249530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.