Active NPI
Kim Miner, APRN
- Family Nurse Practitioner
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11009865
- Practice address
- 1 SE Ocean Blvd
Stuart, FL 34994-2214 - Phone
- (772) 342-0004
- NPI assigned
- Dec 7, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11009865 | FL | Primary |
Addresses
Primary practice location
1 SE Ocean Blvd
Stuart, FL 34994-2214
Mailing address
1 SE Ocean Blvd
Stuart, FL 34994-2214
Phone (772) 342-0004
Other names 1
- Kim Miner
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464
640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009865 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecnb, LLC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Mecnb, LLC | Current | Accepting new patients | |
| Mecnb, LLC | Current | Accepting new patients |
Locations
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
328 Northlake Blvd
North Palm Beach, FL 33408
Phone (561) 249-4449
6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123
225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464
640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- General Practice Physician
- Palm Springs, FL
- NPI 1427209352
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Urgent Care Clinic/Center
- Tequesta, FL
- NPI 1912158593
-
- Urgent Care Clinic/Center
- North Palm Beach, FL
- NPI 1972959104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1982200705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349942214",
"telephone_number": "772-342-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349942214",
"telephone_number": "772-342-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "KIM",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11009865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "MINER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.