Individual provider Active NPI

Kaleah Simmons, APRN

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1720694201
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005473 Issued in FL
Practice address
9202 N 56TH St
Temple Terrace, FL 33617-5502
Phone
(813) 981-0978
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11005473 FL
Family Nurse Practitioner 363LF0000X APRN11005473 FL Primary

Addresses

Primary practice location

9202 N 56TH St
Temple Terrace, FL 33617-5502

Mailing address

9202 N 56TH St
Temple Terrace, FL 33617-5502
Phone (813) 981-0978

Other practice location 1

22829 State Road 54
Land O Lakes, FL 34639-5227
Phone (813) 915-5459

Other practice location 2

7420 State Road 54
New Port Richey, FL 34653-6110
Phone (813) 915-5459

Other practice location 3

11180 Spring Hill Dr
Spring Hill, FL 34609-4648
Phone (813) 915-5459

Other practice location 4

8706 W Hillsborough Ave
Tampa, FL 33615-3705
Phone (813) 915-5459

Other practice location 5

15602 N Dale Mabry Hwy
Tampa, FL 33618-1606
Phone (813) 915-5459

Other practice location 6

17511 Bruce B Downs Blvd
Tampa, FL 33647-3211
Phone (813) 915-5459

Other practice location 7

28115 Wesley Chapel Blvd
Wesley Chapel, FL 33543-3204
Phone (813) 981-0986

Other practice location 8

33670 US Highway 19 N
Palm Harbor, FL 34684-2640
Phone (813) 915-5459

Other practice location 9

128 E Brandon Blvd
Brandon, FL 33511-5219
Phone (813) 915-5459

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005473FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lakeland Chiropractic Center Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1720694201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175502",
            "telephone_number": "813-981-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175502",
            "telephone_number": "813-981-0978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22829 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395227",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536110",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11180 Spring Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346094648",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336153705",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15602 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181606",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17511 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473211",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28115 Wesley Chapel Blvd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335433204",
            "country_code": "US",
            "telephone_number": "813-981-0986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33670 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346842640",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115219",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KALEAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11005473",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.