KIN MED, PA
NPI 1861994204
General Practice in Estero, FL

NPI Status: Active since March 01, 2018

Contact Information

19910 S TAMIAMI TRAIL STE C
ESTERO, FL
ZIP 33928
Phone: (239) 948-1222
Fax: (239) 948-1221

Get Directions Write a Review

  • Organization
  • General Practice

About KIN MED, PA

This page provides the complete NPI Profile along with additional information for Kin Med, Pa, a primary care provider established in Estero, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1861994204 assigned on March 2018. The practitioner's primary taxonomy code is 208D00000X with license number CH11313 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. Kin Med, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Lyette Rose Boucher (President)

NPI
1861994204
Provider Name
KIN MED, PA
Entity Type
Organization
Location Address
19910 S TAMIAMI TRAIL STE C ESTERO, FL 33928
Location Phone
(239) 948-1222
Location Fax
(239) 948-1221
Mailing Address
19910 S. TAMIAMI TRAIL STE C ESTERO, FL 33928
Mailing Phone
(239) 948-1222
Mailing Fax
(239) 948-1221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2018
Last Update Date
03-01-2018
Code Navigator

A primary care provider (PCP) like Kin Med, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
CH11313
License State
FL
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

CH11148 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

P.A.9104809 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LYETTE ROSE BOUCHER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(239) 948-1222

Reviews for KIN MED, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861994204, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 8 + 9 + 8 + 2 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861994204.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861994204, enumerated as an "organization" on March 01, 2018.

The provider is located at 19910 S TAMIAMI TRAIL STE C ESTERO, FL 33928 and the phone number is (239) 948-1222.

General Practice with taxonomy code 208D00000X.