KELLY MUDON (NPI# 1699207076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699207076 |
| Entity Type | Individual |
| Full Name | KELLY MUDON |
| Practice Address |
10300 Sw 216th St Miami FL 33190-3319 |
| Mailing Address |
1662 L1/2 Rd. Fruita CO 81521 |
| Practice Telephone | 7862935502 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS16971 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1662 L1/2 Rd., Fruita, CO 81521 | 9702701292 |
| Street Address |
10300 SW 216TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33190-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104467638 | Brittney O'neill | Nurse Practitioner | 10300 Sw 216th St, Miami, FL 33190-1003 | 2019-10-07 |
| 1538718317 | Lorilee Agatha Graham | Midwife | 10300 Sw 216th St, Miami, FL 33190-1003 | 2019-09-05 |
| 1518442334 | Claudia Rivera | Registered Nurse | 10300 Sw 216th St, Miami, FL 33190 | 2018-09-27 |
| 1538690813 | Paulin Gotrace | Family Medicine | 10300 Sw 216th St, Miami, FL 33190-3319 | 2017-03-27 |
| 1134523871 | Magalie Samson | Family Medicine | 10300 Sw 216th St, Miami, FL 33190 | 2014-10-09 |
| 1033536131 | Cristina Colon-del Toro | Psychiatry & Neurology | 10300 Sw 216th St, Miami, FL 33190 | 2014-03-26 |
| 1558612143 | Carrie L Blanchard | Counselor | 10300 Sw 216th St, Miami, FL 33190 | 2012-09-24 |
| 1447514583 | Verna Hill | Social Worker | 10300 Sw 216th St, Miami, FL 33190 | 2012-07-03 |
| 1497038764 | Nikki Barlia | Counselor | 10300 Sw 216th St, Miami, FL 33190 | 2011-09-23 |
| 1255632477 | Irina Rodriguez | Physician Assistant | 10300 Sw 216th St, Miami, FL 33190-1003 | 2010-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081519 | Dunisleydis Gil | Behavior Technician | 10260 Sw 226 Terr, Cutler Bay, FL 33190 | 2017-08-30 |
| 1033634910 | Elizabeth Benavidez Ramirez | Student in an Organized Health Care Education/Training Program | 10300 Sw 126th St., Cutler Bay, FL 33190 | 2017-08-11 |
| 1770015323 | Keisha Andre | Registered Nurse | 22501 Sw 88 Place, Cutler Bay, FL 33190 | 2017-04-03 |
| 1508304247 | Yeily Fadul | Behavior Technician | 22101 Sw 100th Pl, Cutler Bay, FL 33190 | 2017-02-02 |
| 1578016408 | Cecilia Guevara | Behavior Technician | 21720 Sw 104th Ct Apt 110, Cutler Bay, FL 33190 | 2016-07-27 |
| 1174974083 | Maria I Franco Diaz | Behavioral Analyst | 10380 Sw 225th Ter, Cutler Bay, FL 33190 | 2016-06-22 |
| 1902267867 | Danielle Kristina Beharie | Student in an Organized Health Care Education/Training Program | 10300 Sw 216th St., Miami, FL 33190 | 2016-03-18 |
| 1427427475 | Marielsie Morales-estrada | Social Worker | 10393 Sw 224th Ter, Cutler Bay, FL 33190 | 2015-09-21 |
| 1104221027 | Gregory Fignole | Nurse Practitioner | 13300 Sw 216 Street, Miami, FL 33190 | 2014-11-04 |
| 1033526785 | Howard Pratt | Psychiatry & Neurology | 10300 S.w. 216th Street, Miami, FL 33190 | 2014-07-15 |
| Find all providers in zip 33190 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.