Individual provider Active NPI

Kaitlyn Gibree, APRN, FNP-C

  • Family Nurse Practitioner
  • Kenneth City, FL
National Provider Identifier
1124746334
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021370 Issued in FL
Practice address
5090 61St LN N
Kenneth City, FL 33709-3322
Phone
(727) 420-5251
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021370 FL Primary

Addresses

Primary practice location

5090 61St LN N
Kenneth City, FL 33709-3322

Mailing address

5090 61St LN N
Kenneth City, FL 33709-3322
Phone (727) 420-5251

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
I20221011002099 FL Practitioner - Nurse Practitioner 4385010685 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of the Florida Suncoast, Inc. CurrentSince Sep 25, 2022 Accepting new patients
Empath Health Pharmaceuticals, LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1124746334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 61ST LN N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093322",
            "telephone_number": "727-420-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 61ST LN N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093322",
            "telephone_number": "727-420-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBREE",
        "first_name": "KAITLYN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenneth City, FL

Sources for this page

Verify at the official NPI Registry.