Kedline Maxime

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11018758 Issued in FL

Practice address

2441 E Aragon Blvd Unit 5
Sunrise, FL 33313-8053

Phone

(954) 470-7554

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1790424992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 E ARAGON BLVD UNIT 5",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333138053",
            "telephone_number": "954-470-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 E ARAGON BLVD UNIT 5",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333138053",
            "telephone_number": "954-470-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIME",
        "first_name": "KEDLINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11018758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanie Antenor Maurice, ARNP
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• Deana L Mauro, ST
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• Sheron Maxwell-Crooks
• Debra Faye Maxwell, RN
• Michael G Maxwell, DMD
• Kristina May, CRNA
• Anika Quiana Maybin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.