Active NPI
Kathryn D Moulton-Gray, ARNP
- Family Nurse Practitioner
- Brooksville, FL
National Provider Identifier
1083994248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3016842
- Practice address
- 12083 Cortez Blvd
Brooksville, FL 34613-7350 - Phone
- (352) 596-4022
- Fax
- (352) 596-9851
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN3016842 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP3016842 | FL | Primary |
Addresses
Primary practice location
12083 Cortez Blvd
Brooksville, FL 34613-7350
Mailing address
5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348
Other practice location 1
92 Cypress Blvd W
Homosassa, FL 34446-4562
Phone (352) 765-4737
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 22.95 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3016842 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Care LLC | Past | Accepting new patients | |
| Unity Healthcare LLC | Past | Accepting new patients | |
| Osteopathic Heritage, P.a. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JICADA
Organizations & group practices 4
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.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1245529742
-
- Family Medicine Physician
- Beverly Hills, FL
- NPI 1043453020
-
- Adult Medicine Physician
- Weeki Wachee, FL
- NPI 1215107206
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1720324627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1083994248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064562",
"telephone_number": "352-277-5348",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12083 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346137350",
"telephone_number": "352-596-4022",
"fax_number": "352-596-9851"
}
],
"practiceLocations": [
{
"address_1": "92 Cypress Blvd W",
"address_purpose": "LOCATION",
"city": "Homosassa",
"state": "FL",
"postal_code": "344464562",
"country_code": "US",
"telephone_number": "352-765-4737",
"fax_number": "352-503-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOULTON-GRAY",
"first_name": "KATHRYN",
"middle_name": "D",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN3016842",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3016842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.