NPIMap

Organization Active NPI

Kenlea Allure LLC

Doing business as Kenlea Allure RX

  • Prosthetic/Orthotic Supplier
  • Wimauma, FL
National Provider Identifier
1801518824
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KENLEA ALLURE LLC
Doing business as
Kenlea Allure RX
Practice address
11216 Carrick Stone St
Wimauma, FL 33598-6321
Phone
(813) 551-1219
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Kanesha GentryNPI 1033948591
Title
Cranial Prothesis Specialist
Phone
(813) 551-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

11216 Carrick Stone St
Wimauma, FL 33598-6321

Mailing address

6421 N Florida Ave # D-593
Tampa, FL 33604-6007
Phone (813) 551-1219

Other names 1

  • KENLEA ALLURE RX Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8139233319

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1801518824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N FLORIDA AVE # D-593",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046007",
            "telephone_number": "813-551-1219",
            "fax_number": "813-923-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 CARRICK STONE ST",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986321",
            "telephone_number": "813-551-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENLEA ALLURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "KANESHA",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "authorized_official_telephone_number": "813-551-1219"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8139233319",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "11216 Carrick Stone St",
            "city": "Wimauma",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335986321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KENLEA ALLURE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.