Individual provider Active NPI

Katherine Mae O'Rourke, ARNP,C

  • Family Nurse Practitioner
  • Viera, FL
National Provider Identifier
1235168972
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010832 Issued in FL
Practice address
2900 Veterans Way
Home Based Primary Care
Viera, FL 32940
Phone
(321) 795-5492
Fax
(321) 637-3605
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1010832 FL Primary
Gerontology Nurse Practitioner 363LG0600X 1010832 FL

Addresses

Primary practice location

2900 Veterans Way
Home Based Primary Care
Viera, FL 32940

Mailing address

400 Tortoise View Cir
Satellite Beach, FL 32937-3801
Phone (321) 795-5492

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1010832FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardio Pulmonary Medical Inc PastSince Jan 1, 1990 Accepting new patients

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1235168972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TORTOISE VIEW CIR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373801",
            "telephone_number": "321-795-5492",
            "fax_number": "321-402-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS WAY",
            "address_2": "HOME BASED PRIMARY CARE",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-795-5492",
            "fax_number": "321-637-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KATHERINE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "ARNP,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1010832",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "1010832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.