Kimberly Ann Cates, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007168 Issued in FL

Practice address

3671 S Access Rd
Englewood, FL 34224-8652

Phone

(941) 830-3930

NPI assigned

Jan 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ira Fialko DO PA

  dba Premier Pediatrics Coastal

  • Rural Health Clinic/Center
  • Crystal River, FL
  • NPI 1770865917
  NPD (past)
• NDS Radiology PLLC

  dba National Diagnostic Services

  • Clinic/Center
  • Novi, MI
  • NPI 1548259948
  NPD (past)

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1285264564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 S ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248652",
            "telephone_number": "248-773-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 S ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248652",
            "telephone_number": "941-830-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317276",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Fernando Casanova, M.D.
• Laurentz Cascante
• Philip Harold Case, BACHELOR OF ARTS
• Charles Vincent Casey
• Hannah Moriah Catalan
• Rees Cattermole
• Center for Digestive Disease
• Center for Womens Health
• Todd Robertson Chace, D.O.
• Jeffrey A. Chirillo, D.M.D.

• Family Nurse Practitioner in Englewood, FL
• Providers in Englewood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.