Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellye Marie Koubek, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1659080125

Kellye Marie Koubek, APRN is a Nurse Practitioner in Miami, Florida. Qualified in 2022, 4 years ago. Practices with University of Miami, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1400 NW 12th Ave
Miami, FL 33136-1003
Phone: (305) 243-5302
Fax: (305) 243-9161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN110222802 (FL)

Record details

NPI number1659080125
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Miami — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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