Active NPI
Katherine W Thornton, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11020816
- Practice address
- 2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2822 - Phone
- (904) 648-8200
- Fax
- (904) 253-3270
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
FL, Single Specialty
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
Single Specialty
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dna Comprehensive Therapy Services LLC
Practice addresses (Care Compare)
2055 Reyko Rd
Suite 100
Jacksonville, FL 32207-2822
Phone (904) 648-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004001838 | FL | Practitioner - Nurse Practitioner | 9436504826 | Reassigns benefits to 1 organization |
| I20260206003274 | VA | Practitioner - Nurse Practitioner | 9436504826 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11020816 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024193023 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Retirement Village, Inc. | Single Specialty | Current | Accepting new patients |
| In Harmony Wellness Ihw LLC | Single Specialty | Current | Accepting new patients |
| Dna Comprehensive Therapy Services, LLC | Single Specialty | Current | Accepting new patients |
Locations
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
Interoperability endpoints
- katherine.thornton.1@13142.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024193023 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11020816 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2822
Mailing address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784
Other practice location 1
4410 Claiborne Sq E Ste 334
Hampton, VA 23666-2074
Phone (757) 606-1377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2025.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1346956331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 METRO PKWY STE 205",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169416",
"telephone_number": "239-236-8784",
"fax_number": "239-790-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 REYKO RD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072822",
"telephone_number": "904-648-8200",
"fax_number": "904-253-3270"
}
],
"practiceLocations": [
{
"address_1": "4410 Claiborne Sq E Ste 334",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236662074",
"country_code": "US",
"telephone_number": "757-606-1377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNTON",
"first_name": "KATHERINE",
"middle_name": "W",
"name_prefix": "Prof.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024193023",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11020816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.