Kathy Valerie Verdes, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP9366351 Issued in FL

Practice address

7385 Radio Rd Ste 104
Naples, FL 34104-6705

Phone

(239) 384-9392

Fax

(239) 294-7252

NPI assigned

Jul 28, 2017

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

Opted out of Medicare

Previously, effective Sep 15, 2022 through Sep 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Functional Medicine Aprn LLC

  • Primary Care Clinic/Center
  • Naples, FL
  • NPI 1588311914
  NPD Authorized official

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1306360656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GOLDEN GATE BLVD W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203043",
            "telephone_number": "239-601-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7385 RADIO RD STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046705",
            "telephone_number": "239-384-9392",
            "fax_number": "239-294-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDES",
        "first_name": "KATHY",
        "middle_name": "VALERIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9366351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venice Center LLC
• Venice in Home Care LLC
• Rachael Venn, MD
• Vera M Robert MD DO PA
• Jorge F Vera Portal
• Laura Alejandra Vergara Campero, DMD
• Victor Vergara, DMD
• Laurent Elisa Vergel Cigarroa
• Ammi Elim Vergel Exposito
• Theresa P Vergo, PA-C

• Primary Care Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.