Individual provider Active NPI

Kasey McKenna

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1225680663
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9377540 Issued in FL
Practice address
300 Pinellas St
Clearwater, FL 33756-3804
Phone
(727) 462-7000
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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 APRN9377540 FL Primary

Addresses

Primary practice location

300 Pinellas St
Clearwater, FL 33756-3804

Mailing address

11000 Seminole Dr N
St Petersburg, FL 33708-4032
Phone (727) 776-0490

Other practice location 1

5670 54th Ave N
Kenneth City, FL 33709-2068
Phone (727) 548-0260

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

State licenses

LicenseStateTypeSpecialty
APRN9377540FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Infectious Diseases LLC PastSince Oct 15, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA
  • FHIR API: https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1225680663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 SEMINOLE DR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337084032",
            "telephone_number": "727-776-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-462-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5670 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "Kenneth City",
            "state": "FL",
            "postal_code": "337092068",
            "country_code": "US",
            "telephone_number": "727-548-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "KASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9377540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.