Organization Active NPI

Kempcare Inc.

  • Non-Pharmacy Dispensing Site
  • N Palm Beach, FL
National Provider Identifier
1871115436
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
KEMPCARE INC.
Practice address
840 US Highway 1 Ste 435C
N Palm Beach, FL 33408-3829
Phone
(561) 294-7741
Fax
(561) 805-1097
NPI assigned
May 17, 2020
Last updated
May 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Authorized official

Name
Ayanna Babcock Sutherland, PCT
Title
Ceo/Founder
Phone
(561) 294-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

840 US Highway 1 Ste 435C
N Palm Beach, FL 33408-3829

Mailing address

840 US Highway 1 Ste 435C
N Palm Beach, FL 33408-3829
Phone (561) 294-7741

Other identifiers 1

IdentifierTypeStateIssuer
0108130000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@kempcare.us Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

840 US Highway 1
Ste 435C
Palm Beach Gardens, FL 33408

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589673600000",
    "number": "1871115436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 435C",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334083829",
            "telephone_number": "561-294-7741",
            "fax_number": "561-805-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 435C",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334083829",
            "telephone_number": "561-294-7741",
            "fax_number": "561-805-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_middle_name": "BABCOCK",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "561-294-7741",
        "authorized_official_credential": "PCT"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108130000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kempcare.us",
            "affiliation": "N",
            "endpointDescription": "info@kempcare.us",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "840 US Highway 1 Ste 435C",
            "city": "N Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334083829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in N Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; 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.