Individual provider Active NPI

Kathleen Anne Gribbon, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1316453244
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9419111 Issued in FL
Practice address
2518 SE Pineland Dr
Port St Lucie, FL 34952-8045
Phone
(919) 886-9005
NPI assigned
Dec 14, 2017
Last updated
Jul 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9419111 FL Primary

Addresses

Primary practice location

2518 SE Pineland Dr
Port St Lucie, FL 34952-8045

Mailing address

2518 SE Pineland Dr
Port St Lucie, FL 34952-8045
Phone (919) 886-9005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208002691 FL Practitioner - Nurse Practitioner 2163782293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 S Kanner Hwy
Suite 300
Stuart, FL 34994
Phone (772) 223-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Maureen a Zelinka, MD, PA CurrentSince Dec 14, 2017 Accepting new patients

Locations

4995 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 439-6011

3066 SW Martin Downs Blvd
Ste C
Palm City, FL 34990
Phone (772) 781-2791

3066 SW Martin Downs Blvd
Ste E
Palm City, FL 34990
Phone (772) 781-2735

10080 SW Innovation Way
Ste 201
Port St Lucie, FL 34987
Phone (772) 344-3811

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3801 S Kanner Hwy
Ste 300
Stuart, FL 34994
Phone (772) 223-4978

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: kgribbon2496250@direct.ccf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1316453244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 SE PINELAND DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528045",
            "telephone_number": "919-886-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 SE PINELAND DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528045",
            "telephone_number": "919-886-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBON",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9419111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.