Individual provider Active NPI

Kathy Oconnell, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1356727705
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2966422 Issued in FL
Practice address
2506 N Roosevelt Blvd Ste 103
Key West, FL 33040-3951
Phone
(305) 973-5582
NPI assigned
Aug 8, 2015
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 2966422 FL Primary

Addresses

Primary practice location

2506 N Roosevelt Blvd Ste 103
Key West, FL 33040-3951

Mailing address

3808 Donald Ave
Key West, FL 33040-4511
Phone (305) 304-6645

Other practice location 1

1980 N Roosevelt Blvd
Key West, FL 33040-3632
Phone (305) 304-6645

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
I20160902000479 FL Practitioner - Nurse Practitioner 4789970567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1100 Simonton St
Key West, FL 33040-3110
Phone (305) 293-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2966422FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 23, 2023 Accepting new patients
Florida Department of Health CurrentSince Feb 23, 2023 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1100 Simonton St
Key West, FL 33040
Phone (305) 293-1549

3333 Overseas Hwy
Marathon, FL 33050
Phone (305) 293-7500

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, 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": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1356727705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 DONALD AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404511",
            "telephone_number": "305-304-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N ROOSEVELT BLVD STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403951",
            "telephone_number": "305-973-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 N Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330403632",
            "country_code": "US",
            "telephone_number": "305-304-6645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "KATHY",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-08",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2966422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.