Individual provider Active NPI

Kathryn A. Hart, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1063898906
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9413497 Issued in FL
Practice address
1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone
(239) 734-3481
Fax
(239) 236-7982
NPI assigned
Aug 3, 2015
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.399143 OH
Registered Nurse 163W00000X RN9413497 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023984 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9413497 FL Primary

Addresses

Primary practice location

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110

Mailing address

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone (239) 734-3481

Other identifiers 1

IdentifierTypeStateIssuer
015425900MedicaidFL

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
I20150825005509 FL Practitioner - Nurse Practitioner 2668788340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dura Medical LLCGroup PAC ID 1254672272, 21 clinicians

Practice addresses (Care Compare)

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109-2110
Phone (239) 734-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9413497FLMDRegistered Nurse
RN.399143OHMDRegistered Nurse
APRN9413497FLMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.023984OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dura Medical LLC CurrentSince Feb 4, 2019 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 16
Naples, FL 34109
Phone (239) 734-3481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21560/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1063898906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-734-3481",
            "fax_number": "239-236-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-734-3481",
            "fax_number": "239-236-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KATHRYN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.399143",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9413497",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9413497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015425900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.