Individual provider Active NPI

Kadey Walters, FNP

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1720847668
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031802 Issued in FL
Practice address
1518 Whitehall Dr Apt 304
Davie, FL 33324-6637
Phone
(727) 710-8030
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031802 FL Primary

Addresses

Primary practice location

1518 Whitehall Dr Apt 304
Davie, FL 33324-6637

Mailing address

1518 Whitehall Dr Apt 304
Davie, FL 33324-6637
Phone (727) 710-8030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001365 FL Practitioner - Nurse Practitioner 1456890557 Reassigns benefits to 1 organization

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
Comprehensive Pain and Wellness LLCGroup PAC ID 0143575845, 8 clinicians

Practice addresses (Care Compare)

333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2358
Phone (954) 998-6359

Hospital & facility affiliations

  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031802FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strongbodyrx CurrentSince Nov 18, 2025 Accepting new patients
Comprehensive Pain and Wellness, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

333 NW 70th Ave
Ste 107
Plantation, FL 33317
Phone (954) 581-0200

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1720847668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WHITEHALL DR APT 304",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246637",
            "telephone_number": "727-710-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WHITEHALL DR APT 304",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246637",
            "telephone_number": "727-710-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KADEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.