Individual provider Active NPI

Kathie Ann Gonzales, ARNP-BC

  • Adult Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1073589214
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3383662 Issued in FL
Practice address
24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone
(727) 726-1460
Fax
(727) 724-9705
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3383662 FL Primary

Addresses

Primary practice location

24945 US Highway 19 N
Clearwater, FL 33763-3927

Mailing address

24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone (727) 726-1460

Other identifiers 2

IdentifierTypeStateIssuer
Y087MOtherFLBCBSF
3073238 00MedicaidFL

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
I20060123000118 FL Practitioner - Nurse Practitioner 3375567936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

1551 W Bay Dr
Suite 101
Largo, FL 33770-2209
Phone (727) 587-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3383662FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC CurrentSince Jan 3, 2022 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Oct 1, 2024 Accepting new patients
Millennium Medical Inc Past Accepting new patients
Docs Outside the Box Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

1551 West Bay Dr
Ste 101
Largo, FL 33770
Phone (727) 314-8180

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: kathie.gonzales@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1073589214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24945 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337633927",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24945 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337633927",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KATHIE",
        "middle_name": "ANN",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3383662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "Y087M",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073238 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.