Active NPI
Kaye-Ann Dunkley
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1679467674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 13990
- Practice address
- 187 Cocoa St SE
Palm Bay, FL 32909-4316 - Phone
- (321) 586-9136
- Fax
- (888) 518-1703
- NPI assigned
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 13990 | FL | Primary |
Addresses
Primary practice location
187 Cocoa St SE
Palm Bay, FL 32909-4316
Mailing address
187 Cocoa St SE
Palm Bay, FL 32909-4316
Phone (954) 496-4104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13990 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1679467674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 COCOA ST SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329094316",
"telephone_number": "954-496-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 COCOA ST SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329094316",
"telephone_number": "321-586-9136",
"fax_number": "888-518-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKLEY",
"first_name": "KAYE-ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "13990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.