Nathan Kittrell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

100531 Issued in FL

Practice address

11825 Lake Victoria Gardens Ave
Palm Beach Gardens, FL 33410

Phone

(561) 352-2700

NPI assigned

Jan 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1265242358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 36TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074704",
            "telephone_number": "601-479-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 LAKE VICTORIA GARDENS AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-352-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "100531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Kirk
• Biance Kirkpatrick
• Lawrence P Kirschenbaum, M.D.
• Stephanie Crystal Kiser, A.P.
• Ryan Seitz Kish, D.C.
• Abigail Julia Klein
• Donna Klein, M.A., OTR/L
• Mary Elizabeth Cecelia Klein, APRN
• Matthew Klein, M.D.
• Tammy Kleinman-Surett

• Massage Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.