Individual provider Active NPI

Nicole Kay, FNP

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1114572856
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11003406 Issued in FL
Practice address
5860 Ranch Lake Blvd
Bradenton, FL 34202-3718
Phone
(208) 755-5846
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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 11003406 FL Primary

Addresses

Primary practice location

5860 Ranch Lake Blvd
Bradenton, FL 34202-3718

Mailing address

11518 Autumn Leaf Way
Bradenton, FL 34212-2515
Phone (208) 755-5846

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
I20191112002242 FL Practitioner - Nurse Practitioner 5193157253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Chiropractic Center IncGroup PAC ID 4082602123, 2 clinicians

Practice addresses (Care Compare)

5245 University Pkwy
Unit 101
University Park, FL 34201-3011
Phone (941) 360-2220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003406FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series II CurrentSince Nov 1, 2020 Accepting new patients
University Chiropractic Center, Inc. CurrentSince Jan 20, 2026 Accepting new patients

Locations

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

5245 University Pkwy
Unit 101
University Park, FL 34201
Phone (941) 360-2220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26589/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1114572856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 AUTUMN LEAF WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122515",
            "telephone_number": "208-755-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023718",
            "telephone_number": "208-755-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.