Individual provider Active NPI

Kimberley Kay Drury, ARNP

  • Family Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1063785178
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9237691 Issued in FL
Practice address
3543 Little Rd
Trinity, FL 34655-1811
Phone
(727) 848-6400
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9237691 FL Primary

Addresses

Primary practice location

3543 Little Rd
Trinity, FL 34655-1811

Mailing address

600 E. Dixie Avenue
Attn: Edna P - Credentialing
Leesburg, FL 34748
Phone (352) 323-4267

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170620002963 FL Practitioner - Nurse Practitioner 3577831387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 E Dixie Ave
Attn Edna P Credentialing
Leesburg, FL 34748-5999

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9237691FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Care Specialists LLC CurrentSince Sep 1, 2018 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
Florida Health Care LLC CurrentSince Sep 1, 2018 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

600 E Dixie Ave
#P
Leesburg, FL 34748

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: kimberley.drury.1@17462.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1063785178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E. DIXIE AVENUE",
            "address_2": "ATTN: EDNA P - CREDENTIALING",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-323-4267",
            "fax_number": "352-323-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551811",
            "telephone_number": "727-848-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "KIMBERLEY",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9237691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.