Individual provider Active NPI

Kathy Burge, FNP

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1114013588
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9473743 Issued in FL
Practice address
5310 Clark Rd Ste 206
Sarasota, FL 34233-3229
Phone
(941) 921-2617
Fax
(941) 921-3399
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9473743 FL Primary

Addresses

Primary practice location

5310 Clark Rd Ste 206
Sarasota, FL 34233-3229

Mailing address

5310 Clark Rd Ste 206
Sarasota, FL 34233-3229
Phone (941) 921-2617

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Seniorxpress@gmail.com Direct
CONNECT URL Seniorxpress@gmail.com Direct

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
I20210225001224 FL Practitioner - Nurse Practitioner 2769663368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

Merit-based Incentive Payment System (MIPS)

Final score
79.1 of 100Reported as group
Quality
35.98
Promoting interoperability
100
Improvement activities
40
Cost
61.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9473743FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Xpress Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Cardiac Vision LLC CurrentSince Mar 20, 2024 Accepting new patients
Bluefield HBP Medical Group LLC Past Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

5310 Clark Rd
Ste 206
Sarasota, FL 34233
Phone (941) 921-2617

Interoperability endpoints

  • Direct secure messaging: kaburge@yourcarecommunity.org

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, 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1114013588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333229",
            "telephone_number": "941-921-2617",
            "fax_number": "941-921-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333229",
            "telephone_number": "941-921-2617",
            "fax_number": "941-921-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "KATHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9473743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seniorxpress@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5310 Clark Rd Ste 206",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seniorxpress@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5310 Clark Rd Ste 206",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.