Individual provider Active NPI

Kaitlin Estock Leiva, APRN-C

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1336746536
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008828 Issued in FL
Practice address
2803 W Saint Isabel St
Tampa, FL 33607-6343
Phone
(813) 253-2273
Fax
(813) 253-2279
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008828 FL
Nurse Practitioner 363L00000X APRN11008828 FL Primary

Addresses

Primary practice location

2803 W Saint Isabel St
Tampa, FL 33607-6343

Mailing address

1988 Gulf to Bay Blvd
Clearwater, FL 33765-3550
Phone (727) 314-4243

Other practice location 1

1988 Gulf To Bay Blvd
Clearwater, FL 33765-3550
Phone (727) 314-4243

Other identifiers 1

IdentifierTypeStateIssuer
109550400MedicaidFL

Other names 1

  • Mrs. Kaitlin Ashley Estock Leiva Former name

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
I20210226000710 FL Practitioner - Nurse Practitioner 7315352242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naps Medical, LLCGroup PAC ID 0244647873, 9 clinicians
Comprehensive Spine Institute, LLCGroup PAC ID 1456536192, 17 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

2803 W Saint Isabel St
Tampa, FL 33607-6343
Phone (813) 253-2273

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008828FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Spine Institute, LLC CurrentSince Jan 9, 2024 Accepting new patients
Naps Medical LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

1988 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 314-4243

1988 Gulf To Bay Blvd
Ste 1
Clearwater, FL 33765
Phone (727) 953-8090

4051 Upper Creek Dr
Sun City Ctr, FL 33573
Phone (813) 634-3301

4710 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 673-8282

3010 E 138th Ave
Ste 9
Tampa, FL 33613
Phone (813) 971-2888

2803 W Saint Isabel St
Tampa, FL 33607
Phone (813) 875-5855

Interoperability endpoints

  • Direct secure messaging: kaitlin.leivaaprn@direct.mybaycare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1336746536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653550",
            "telephone_number": "727-314-4243",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 W SAINT ISABEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076343",
            "telephone_number": "813-253-2273",
            "fax_number": "813-253-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1988 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653550",
            "country_code": "US",
            "telephone_number": "727-314-4243",
            "fax_number": "813-635-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "KAITLIN",
        "middle_name": "ESTOCK",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008828",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109550400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "LEIVA",
            "middle_name": "ASHLEY ESTOCK",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.