Provider Demographics
NPI:1942633300
Name:LEBESS, KARIN KASSANDRA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:KASSANDRA
Last Name:LEBESS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KARIN
Other - Middle Name:KASSANDRA
Other - Last Name:MARTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9800 SW 85TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4053
Mailing Address - Country:US
Mailing Address - Phone:305-562-3947
Mailing Address - Fax:
Practice Address - Street 1:3641 S MIAMI AVE STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4219
Practice Address - Country:US
Practice Address - Phone:305-854-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY665043163W00000X
FLAPRN11014822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse