Individual provider Active NPI

Rita Agnes Buettner, MSN, RN

  • Registered Nurse
  • Dunedin, FL
National Provider Identifier
1356037642
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9165695 Issued in FL
Practice address
1436 Windmoor Dr
Dunedin, FL 34698-4136
Phone
(727) 744-8625
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9165695 FL Primary

Addresses

Primary practice location

1436 Windmoor Dr
Dunedin, FL 34698-4136

Mailing address

1436 Windmoor Dr
Dunedin, FL 34698-4136
Phone (727) 744-8625

Other names 1

  • Rita Agnes Paolillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9165695FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1356037642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 WINDMOOR DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984136",
            "telephone_number": "727-744-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 WINDMOOR DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984136",
            "telephone_number": "727-744-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "RITA",
        "middle_name": "AGNES",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9165695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "PAOLILLO",
            "middle_name": "AGNES",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.