Individual provider Active NPI

Christie Kilayko

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891168803
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARP3398612 Issued in FL
Practice address
1700 SW 150TH Rd
Miami, FL 33185-5771
Phone
(305) 227-0354
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARP3398612 FL Primary

Addresses

Primary practice location

1700 SW 150TH Rd
Miami, FL 33185-5771

Mailing address

1700 SW 150TH Rd
Miami, FL 33185-5771
Phone (305) 227-0354

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000843 FL Practitioner - Nurse Practitioner 9032404967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARP3398612FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Francis N Crespo MD PA CurrentSince Apr 4, 2016 Accepting new patients
Jeffrey T Kilayko PA Past Accepting new patients

Locations

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

15476 NW 77th Ct
Miami Lakes, FL 33016
Phone (305) 300-8380

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1891168803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SW 150TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855771",
            "telephone_number": "305-227-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW 150TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855771",
            "telephone_number": "305-227-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILAYKO",
        "first_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARP3398612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.