Individual provider Active NPI

Katherine Augustin

  • Registered Nurse
  • Riverview, FL
National Provider Identifier
1235874124
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9529685 Issued in FL
Practice address
12124 Streambed Dr
Riverview, FL 33579-9336
Phone
(813) 417-6969
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9529685 FL Primary

Addresses

Primary practice location

12124 Streambed Dr
Riverview, FL 33579-9336

Mailing address

12124 Streambed Dr
Riverview, FL 33579-9336
Phone (813) 417-6969

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
I20250804003079 FL Practitioner - Nurse Practitioner 7911415617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9529685FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Florida LLC CurrentSince Jul 31, 2025 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: katherine.augustin.1@22854.direct.athenahealth.com

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1235874124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 STREAMBED DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335799336",
            "telephone_number": "813-417-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 STREAMBED DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335799336",
            "telephone_number": "813-417-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9529685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.