Kimberly Fletcher, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11026774 Issued in FL

Practice address

602 Vonderburg Dr Ste 103
Brandon, FL 33511-5900

Phone

(813) 547-6508

NPI assigned

Jun 12, 2023

Sex

Female

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfletcher@pob2202.srs-direct.com

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.

• Timothy M Bradley MD Pediatric Orthopedic Surgeon PA

  • Pediatric Orthopaedic Surgery Physician
  • Brandon, FL
  • NPI 1508264938
  NPD
• Bay Pediatric Cardiology Inc

  • Specialist
  • Tampa, FL
  • NPI 1568450385
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1295419299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 MILESTONE DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721743",
            "telephone_number": "813-538-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VONDERBURG DR STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115900",
            "telephone_number": "813-547-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Palm River Rd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194574",
            "country_code": "US",
            "telephone_number": "813-693-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Fleege
• Anne Fleming
• Sharon Delois Fleming, RPH
• April Fletcher
• Cynthia Anne Fletcher, L.C.S.W.
• Laurie Fletcher
• Robin Marie Flicker, DMD
• Gilda Flores Cuesta
• Victoria Flores-Carlson, CRNA
• Bonnie C Flores

• 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 Mar 18, 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.