Active NPI
Kimberly Ann Lacina, ARNP
- Nurse Practitioner
- Palm Harbor, FL
National Provider Identifier
1285943779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3079632
- Practice address
- 115 Rodney Court
Palm Harbor, FL 34684-3676 - Phone
- (727) 216-0505
- Fax
- (727) 789-8261
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3079632 | FL | Primary |
Addresses
Primary practice location
115 Rodney Court
Palm Harbor, FL 34684-3676
Mailing address
115 Rodney Court
Palm Harbor, FL 34684-3676
Phone (727) 600-4957
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Specialty Group, Inc | Current | Accepting new patients | |
| Brodrick ER SVCS Partnership LLC | Past | Accepting new patients | |
| Sunshine City Emergency Physicians | Past | Accepting new patients |
Locations
403 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-3646
800 Medical Ct E
Inverness, FL 34452
Phone (352) 726-7667
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kimberly.lacina@hca4.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Inverness, FL
- NPI 1437552858
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1467400796
-
- Emergency Medicine Physician
- St. Petersburg, FL
- NPI 1770533143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1285943779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 RODNEY COURT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843676",
"telephone_number": "727-600-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 RODNEY COURT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843676",
"telephone_number": "727-216-0505",
"fax_number": "727-789-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACINA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3079632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.