Catherine Marie Brugnolotti

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11012505 Issued in FL

Practice address

836 Prudential Dr Ste 902
Jacksonville, FL 32207-8336

Phone

(904) 399-5620

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Masson Medical Specialist CorporationGroup PAC ID 6103284849, 5 clinicians

Elemental Living IncGroup PAC ID 7214385822, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22766/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elemental Living Inc

  • Chiropractor
  • Coral Gables, FL
  • NPI 1205617404

  Family

  Medicare reassignment Care Compare group NPD
• Masson Medical Specialist Corporation

  dba Woundxperts

  • Wound Care Registered Nurse
  • Coral Springs, FL
  • NPI 1528763901
  Medicare reassignment Care Compare group NPD
• Health & Glow Primary Care & Med Spa LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912519224
  Medicare reassignment NPD
• Living Well Health Center of Central Florida Inc

  • General Practice Physician
  • Saint Cloud, FL
  • NPI 1861010266
  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  FL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1053990135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 DURBIN PARKE DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 902",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078336",
            "telephone_number": "904-399-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGNOLOTTI",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Dee Bruce, MS, CCC-SLP
• Wendi Wallace Bruce, CCC/SLP
• Jenine Bruchez, LMT
• Lynn Edna Brueske, ED.S., LMHC
• Madison Brugh
• Sorin Brull, MD
• Suzanne Mitchell Brulte, MD
• Michael Beirns Brumback, M.D.
• Lisa Brumble, MD
• Lauren Kay Brummitt, LMHC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.