Active NPI
Kendall Kirby Mora, ARNP
- Family Nurse Practitioner
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9249484
- Practice address
- 1055 37TH PL
Vero Beach, FL 32960-6551 - Phone
- (772) 257-8700
- NPI assigned
- May 7, 2012
- Last updated
- May 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9249484 | FL | Primary |
Addresses
Primary practice location
1055 37TH PL
Vero Beach, FL 32960-6551
Mailing address
1770 Pointe West Way
Vero Beach, FL 32966-2444
Phone (772) 569-2708
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
1651 SW 42ND St
Ocala, FL 34471-1364
Phone (352) 873-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9249484 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeforce Healthcare LLC | Family | Current | Accepting new patients |
| New Vision Surgical Center, LLC | Past | Accepting new patients | |
| New Vision Eye Center, LLC | Past | Accepting new patients | |
| Florida Health Care LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Lady Lake, FL
- NPI 1952848913
-
- Specialist
- Vero Beach, FL
- NPI 1255568879
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1063701977
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Ocala, FL
- NPI 1841229515
-
- Community Based Hospice Care Agency
- Ocala, FL
- NPI 1235189440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1730448069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 POINTE WEST WAY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329662444",
"telephone_number": "772-569-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 37TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606551",
"telephone_number": "772-257-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "KENDALL",
"middle_name": "KIRBY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9249484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.