Diverse Wellness Solutions
NPI 1477347615ActiveOrganization· Nurse Practitioner, Family· Plantation, FL
Nurse Practitioner, Family in Plantation, Florida, registered in NPPES in April 2025. The authorized official on file is Kyndall Nyeschelle Mammah, FNP, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477347615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2025 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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