Individual provider Active NPI

Kirstin Labell, MD

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1891220489
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME138589 Issued in FL
Practice address
145 City PL
Palm Coast, FL 32164-2479
Phone
(386) 302-0975
Fax
(386) 302-0976
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME138589 FL Primary

Addresses

Primary practice location

145 City PL
Palm Coast, FL 32164-2479

Mailing address

145 City PL
Palm Coast, FL 32164-2479
Phone (386) 302-0975

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031001485 FL Practitioner - Family Practice 2163781394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

145 City PL
Suite 101
Palm Coast, FL 32164-2480
Phone (386) 302-0975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138589FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Sep 15, 2019 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 13, 2020 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 13, 2020 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

201 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 254-4165

775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 425-4480

145 City Pl
Ste 101
Palm Coast, FL 32164
Phone (386) 302-0975

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1891220489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CITY PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642479",
            "telephone_number": "386-302-0975",
            "fax_number": "386-302-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CITY PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642479",
            "telephone_number": "386-302-0975",
            "fax_number": "386-302-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELL",
        "first_name": "KIRSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME138589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.