Active NPI
Kandace Marisa Kichler, MD
- Surgery Physician
- Miami Beach, FL
National Provider Identifier
1861768848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME132896
- Practice address
- 1111 Lincoln Rd Ste 800
Miami Beach, FL 33139-2451 - Phone
- (305) 391-2173
- NPI assigned
- Mar 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME132896 | FL | Primary |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | ME132896 | FL |
Addresses
Primary practice location
1111 Lincoln Rd Ste 800
Miami Beach, FL 33139-2451
Mailing address
10752 Northbrook Cir
Palm Beach Gardens, FL 33412-7307
Phone (561) 568-5801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021449500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1861768848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10752 NORTHBROOK CIR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334127307",
"telephone_number": "561-568-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LINCOLN RD STE 800",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392451",
"telephone_number": "305-391-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KICHLER",
"first_name": "KANDACE",
"middle_name": "MARISA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME132896",
"primary": true
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": "FL",
"license": "ME132896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021449500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.