Individual provider Active NPI

Kathleen Jamieson-Gargano, NP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1083088033
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024243 Issued in FL
Practice address
1903 S Congress Ave Ste 455
Boynton Beach, FL 33426-6559
Phone
(561) 336-4790
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN175307 MA
Family Nurse Practitioner 363LF0000X APRN11024243 FL Primary

Addresses

Primary practice location

1903 S Congress Ave Ste 455
Boynton Beach, FL 33426-6559

Mailing address

929 Magdalena Rd
Palm Beach Gardens, FL 33410-2141
Phone (516) 330-9591

Other practice location 1

929 Magdalena Rd
Palm Beach Gardens, FL 33410-2141
Phone (516) 330-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160107001806 MA Practitioner - Nurse Practitioner 3779885744
I20231031001141 FL Practitioner - Nurse Practitioner 3779885744 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
Doctors House Calls of Florida LLCGroup PAC ID 9335433465, 16 clinicians

Practice addresses (Care Compare)

1239 SE Indian St
Suite 102
Stuart, FL 34997-5633
Phone (772) 781-2207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN175307MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors House Calls of Florida, LLC CurrentSince Oct 25, 2023 Accepting new patients
Old Colony Hospice Inc. Past Accepting new patients
Bicycle Health Medical Group PA Past Accepting new patients

Locations

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

Interoperability endpoints

  • Direct secure messaging: kathleen.jamieson.gargano.1@24095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1083088033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 MAGDALENA RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102141",
            "telephone_number": "516-330-9591",
            "fax_number": "800-470-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE STE 455",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266559",
            "telephone_number": "561-336-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Magdalena Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102141",
            "country_code": "US",
            "telephone_number": "516-330-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMIESON-GARGANO",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN175307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.