Active NPI
Kathleen Laura Perez
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1699452789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11028555
- Practice address
- 9641 SW 66TH St
Miami, FL 33173-2218 - Phone
- (305) 781-6121
- NPI assigned
- Jun 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9483728 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11028555 | FL | Primary |
Addresses
Primary practice location
9641 SW 66TH St
Miami, FL 33173-2218
Mailing address
9641 SW 66TH St
Miami, FL 33173-2218
Other practice location 1
1501 Biscayne Blvd
Miami, FL 33132-1449
Phone (877) 870-0323
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 |
|---|---|---|---|
| 9483728 | FL | MD | Registered Nurse |
| 11028555 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1699452789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9641 SW 66TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9641 SW 66TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732218",
"telephone_number": "305-781-6121"
}
],
"practiceLocations": [
{
"address_1": "1501 Biscayne Blvd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331321449",
"country_code": "US",
"telephone_number": "877-870-0323",
"fax_number": "866-427-3798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "KATHLEEN",
"middle_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9483728",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11028555",
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.