Catherine R Papatheodorou, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9476459 Issued in FL

Practice address

311 Noland Dr
Brandon, FL 33511-5719

Phone

(813) 654-8100

Fax

(813) 874-0099

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Catherine R Mariano Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: catherine.papatheodorou@direct.hackensackmeridian.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  Single Specialty

  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199

  Single Specialty

  NPD
• Pulmonary & Sleep of Tampa Bay PL

  • Pulmonary Disease Physician
  • Brandon, FL
  • NPI 1821398538

  Single Specialty

  NPD (past)
• Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1295142016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076316",
            "telephone_number": "813-490-9495",
            "fax_number": "813-874-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NOLAND DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115719",
            "telephone_number": "813-654-8100",
            "fax_number": "813-874-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 South Ave",
            "address_purpose": "LOCATION",
            "city": "Garwood",
            "state": "NJ",
            "postal_code": "070271312",
            "country_code": "US",
            "telephone_number": "908-232-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10739 Deerwood Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564839",
            "country_code": "US",
            "telephone_number": "615-721-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4729 N Habana Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147113",
            "country_code": "US",
            "telephone_number": "813-251-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4308 N Habana Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076316",
            "country_code": "US",
            "telephone_number": "813-490-9495",
            "fax_number": "813-874-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2329 Crestover Ln Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446792",
            "country_code": "US",
            "telephone_number": "813-490-9495",
            "fax_number": "813-874-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPATHEODOROU",
        "first_name": "CATHERINE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ARNP9476459",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00510200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9476459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MARIANO",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Athina P Panagiotopoulos
• Nirmalasari Panagopoulos
• James William Pank, PA-C
• Mayleen Pantoja
• Elizabeth Paonessa
• Dana William Papatheodorou, M.D.
• Laura Frances Papp, RMHCI
• Jamie Pappa
• Sonam Parag
• Maggie Parchman

• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, 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 Feb 23, 2021; 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.

Verify at the official NPI Registry.