Organization Active NPI

Kelly Higgins

  • Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1992973960
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1930852 Issued in FL
Legal business name
KELLY HIGGINS
Practice address
1941 Mohican Trail
Maitland, FL 32751
Phone
(407) 886-8164
Fax
(407) 886-0710
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Kelly Higgins, ARNP
Title
President
Phone
(407) 886-8164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP1930852 FL Primary

Addresses

Primary practice location

1941 Mohican Trail
Maitland, FL 32751

Mailing address

1941 Mohican TRL
Maitland, FL 32751-3729
Phone (407) 886-8164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1992973960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 MOHICAN TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513729",
            "telephone_number": "407-886-8164",
            "fax_number": "407-886-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 MOHICAN TRAIL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-886-8164",
            "fax_number": "407-886-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY HIGGINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-886-8164",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1930852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.