Healthcare Provider Details

I. General information

NPI: 1427988187
Provider Name (Legal Business Name): KAYLA CHEYANNE GEIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 SARNO RD
MELBOURNE FL
32935-3084
US

IV. Provider business mailing address

520 PORT MALABAR BLVD NE
PALM BAY FL
32905-4407
US

V. Phone/Fax

Practice location:
  • Phone: 321-241-6800
  • Fax:
Mailing address:
  • Phone: 321-305-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11047723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: