KAYLA LANDAVERDE NPI 1750189437

NPI Information

  • NPI: 1750189437
  • Provider Name: KAYLA LANDAVERDE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 433 HIGHLAND PKWY STE 201
    ELLIJAY, GA
    ZIP 30540
  • Phone: (678) 513-2273

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NPI Details

Kayla Landaverde is a family nurse practitioner in Ellijay, GA with 2 years of experience. Kayla Landaverde NPI is 1750189437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

433 HIGHLAND PKWY STE 201
ELLIJAY, GA
ZIP 30540-658
Phone: (678) 513-2273
Fax: (678) 513-8869

The NPI 1750189437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2025 and was last updated on 3/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN296397GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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