Takako Kikuchi

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11006735 Issued in FL

Practice address

11724 Raintree Lake LN Apt B
Tampa, FL 33617-9431

Phone

(813) 210-3729

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sterk Family Medicine LLC

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1659046357
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1720754062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 RAINTREE LAKE LN APT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179431",
            "telephone_number": "813-210-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 RAINTREE LAKE LN APT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179431",
            "telephone_number": "813-210-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKUCHI",
        "first_name": "TAKAKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Kiely, MD
• Adriana Isabel Kierecki, BA - ITDS
• Ashley Kievit, PA-C
• Adam M Kijanski, LCSW
• Victoria K Kijanski, LCSW
• Caroline Elizabeth Kilbane, PA-C
• Lisa M Kilbane, M.P.T.
• Jennifer Lauren Kilbride, PA-C
• Kathleen Kilbride, MD
• Cora Kilcoyne

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.