NPIMap

Individual provider Active NPI

Kathryn George Patrick, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1346735586
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9488983 Issued in FL
Practice address
1717 N E Street
Ste 227
Pensacola, FL 32501
Phone
(850) 469-2356
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 9488983 FL Primary

Addresses

Primary practice location

1717 N E Street
Ste 227
Pensacola, FL 32501

Mailing address

3711 Bonner Rd
Pensacola, FL 32503-4232
Phone (601) 750-4423

Other identifiers 1

IdentifierTypeStateIssuer
9488983OtherFLFLORIDA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919003301 FL Practitioner - Nurse Practitioner 7315298056 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peoples Hospice and Palliative Care of Florida LLCGroup PAC ID 9638544208, 3 clinicians
Primary Care House Calls PAGroup PAC ID 8325263270, 14 clinicians
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

213 E Wright St
Suite B
Pensacola, FL 32501-4917
Phone (850) 378-5618

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone (850) 934-5713

29399 US Hwy 19 N
Suite 150
Clearwater, FL 33761-2191
Phone (551) 295-8223

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Pensacola, FL, CCN 108168
  • Stat Home Health Florida Panhandle LLC Home health agency, Pensacola, FL, CCN 103138
  • Medi Home Health Agency Home health agency, Pensacola, FL, CCN 108240
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9488983FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care House Calls PA CurrentSince Sep 8, 2019 Accepting new patients

Locations

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 313-9046

Interoperability endpoints

  • Direct secure messaging: kathryn.patrick.1@30358.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1346735586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 BONNER RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034232",
            "telephone_number": "601-750-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E STREET",
            "address_2": "STE 227",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-469-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KATHRYN",
        "middle_name": "GEORGE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9488983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "9488983",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.