Active NPI
Health KTP LLC
- Nurse Practitioner
- North Miami, FL
National Provider Identifier
1942023676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- HEALTH KTP LLC
- Practice address
- 12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021 - Phone
- (786) 245-3035
- NPI assigned
- Nov 1, 2024
- Last updated
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kira Tejada, APRN
- Title
- Nurse Practitioner
- Phone
- (786) 245-3035
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021
Mailing address
12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021
Phone (786) 245-3035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
147 Alhambra Cir
Ste 140
Coral Gables, FL 33134
Phone (305) 917-9270
2210 SW 27th Ave
Miami, FL 33145
Phone (305) 917-9270
12955 Biscayne Blvd
Ste 200
North Miami, FL 33181
Phone (727) 732-3369
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- North Miami, FL
- NPI 1043990591
Multi-Specialty
-
- Family Nurse Practitioner
- Coral Gables, FL
- NPI 1831768209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1942023676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12955 BISCAYNE BLVD STE 200",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812021",
"telephone_number": "786-245-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 BISCAYNE BLVD STE 200",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812021",
"telephone_number": "786-245-3035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH KTP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "TEJADA",
"authorized_official_first_name": "KIRA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "786-245-3035",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.