Individual provider Active NPI

Kimberly Ann Cittadino

  • Case Manager/Care Coordinator
  • Jensen Beach, FL
National Provider Identifier
1134869753
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1601 NE Braille PL
Jensen Beach, FL 34957-5345
Phone
(772) 320-0770
Fax
(772) 444-3589
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

1601 NE Braille PL
Jensen Beach, FL 34957-5345

Mailing address

1601 NE Braille PL
Jensen Beach, FL 34957-5345
Phone (772) 320-0770

Other identifiers 1

IdentifierTypeStateIssuer
59-1051699MedicaidFL

Other names 1

  • Kimberly Ann Cittadino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPS, Helping People Succeed, Inc. CurrentSince Feb 8, 2023 Accepting new patients

Locations

1601 NE Success Dr
Jensen Beach, FL 34957
Phone (772) 320-0770

Organizations & group practices 1

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1134869753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770",
            "fax_number": "772-444-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770",
            "fax_number": "772-444-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITTADINO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-1051699",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CITTADINO",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.