Active NPI
Preetha Liju Kachappilly, ARNP
- Family Nurse Practitioner
- Cooper City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9269743
- Practice address
- 8395 SW 51St St
Cooper City, FL 33328-4339 - Phone
- (954) 504-0531
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | ARNP 9269743 | FL | Primary |
Addresses
Primary practice location
8395 SW 51St St
Cooper City, FL 33328-4339
Mailing address
8395 SW 51St St
Cooper City, FL 33328-4339
Phone (954) 504-0531
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 Sheridan St
Hollywood, FL 33020-2275
Phone (954) 276-1565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9269743 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
16620 Sheridan St
Ft Lauderdale, FL 33331
Phone (954) 265-3451
8665 NW 186th St
Hialeah, FL 33015
Phone (305) 682-2626
1740 Sheridan St
Hollywood, FL 33020
Phone (954) 276-1565
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
Interoperability endpoints
- pkachappilly171514@mhsdirect.net
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1457899684
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1750824447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8395 SW 51ST ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333284339",
"telephone_number": "954-504-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8395 SW 51ST ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333284339",
"telephone_number": "954-504-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHAPPILLY",
"first_name": "PREETHA",
"middle_name": "LIJU",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9269743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.