Active NPI
Nicole Kain, R.N
- Developmental Therapist
- Tampa, FL
National Provider Identifier
1932645033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- RN9322789
- Practice address
- 4002 W Horatio St
Tampa, FL 33609-3939 - Phone
- (813) 453-2217
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | RN9322789 | FL | Primary |
Addresses
Primary practice location
4002 W Horatio St
Tampa, FL 33609-3939
Mailing address
9624 W Park Dr
Tampa, FL 33626
Phone (215) 480-4143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | 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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9322789 | FL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Kids | Past | Accepting new patients | |
| All About Kids, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1871630095
-
- Physical Therapist
- Tampa, FL
- NPI 1609000694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1932645033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9624 W PARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33626",
"telephone_number": "215-480-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 W HORATIO ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093939",
"telephone_number": "813-453-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIN",
"first_name": "NICOLE",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "RN9322789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222Q00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.