Individual provider Active NPI

Jennifer Kundrat, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1174922769
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9438010 Issued in FL
Practice address
6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone
(727) 800-9956
Fax
(855) 552-3776
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9438010 FL Primary

Addresses

Primary practice location

6707 38TH Ave N
St Petersburg, FL 33710-1536

Mailing address

6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (727) 800-9956

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
I20161128001397 FL Practitioner - Nurse Practitioner 4789588047 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians
Wound Care Physicians of Tampa Bay LLCGroup PAC ID 6002344272, 8 clinicians
Heal Precisely of Northside LLCGroup PAC ID 9537544853, 10 clinicians
Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 306-8790

5880 49TH St N
Suite N 201
St Petersburg, FL 33709-2150
Phone (727) 300-0405

6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (727) 896-4615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9438010FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Precisely of Tampa Bay LLC CurrentSince Sep 1, 2024 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Jun 3, 2023 Accepting new patients
Beaton Podiatry Center Inc Nurse Practitioner CurrentSince Feb 9, 2026 Accepting new patients
Heal Precisely of Northside LLC CurrentSince Sep 1, 2024 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Sep 1, 2024 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Jun 3, 2023 Accepting new patients
Wound Care Physicians of Tampa Bay LLC CurrentSince Jan 1, 2025 Accepting new patients
Advanced Vascular and Wound Associates Inc Past Accepting new patients

Locations

1 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-1958

6707 38th Ave N
St Petersburg, FL 33710
Phone (727) 800-9958

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1174922769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-800-9956",
            "fax_number": "855-552-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-800-9956",
            "fax_number": "855-552-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDRAT",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9438010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.