Individual provider Active NPI

Kathryn Leigh Carmichael, ARNP

  • Family Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1275909335
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9280143 Issued in FL
Practice address
362 Brightwaters Dr
Cocoa Beach, FL 32931-3818
Phone
(321) 591-4338
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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 ARNP 9280143 FL Primary

Addresses

Primary practice location

362 Brightwaters Dr
Cocoa Beach, FL 32931-3818

Mailing address

362 Brightwaters Dr
Cocoa Beach, FL 32931-3818

Other names 1

  • Kathryn Heibel Former name

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
I20160212001333 FL Practitioner - Nurse Practitioner 5294039145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9280143FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC Family CurrentSince Oct 20, 2024 Accepting new patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

7406 Fullerton St
Ste 200
Jacksonville, FL 32256
Phone (800) 793-7050

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: kathryn.carmichael.1@29290.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1275909335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 BRIGHTWATERS DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 BRIGHTWATERS DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313818",
            "telephone_number": "321-591-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "KATHRYN",
        "middle_name": "LEIGH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9280143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HEIBEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.