Individual provider Active NPI

Kimberly Gaznabie, NP

  • Family Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1366056962
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026537 Issued in FL
Practice address
120 Bates Ave SW
Winter Haven, FL 33880-2953
Phone
(863) 288-0942
Fax
(863) 288-0943
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 APRN11026537 FL Primary
Family Nurse Practitioner 363LF0000X 10998 CT

Addresses

Primary practice location

120 Bates Ave SW
Winter Haven, FL 33880-2953

Mailing address

5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076

Other practice location 1

780 Litchfield St
Torrington, CT 06790-6268
Phone (860) 496-2198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221025001930 CT Practitioner - Nurse Practitioner 4981070455 Reassigns benefits to 1 organization
I20250318002225 FL Practitioner - Nurse Practitioner 4981070455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

116 Bates Ave SW
Winter Haven, FL 33880-2953
Phone (863) 288-0946

780 Litchfield St
Torrington, CT 06790-6268
Phone (860) 626-8232

Hospital & facility affiliations

  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10998CTMDClinical Social Worker
APRN11026537FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince May 2, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 2, 2025 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

116 Bates Ave SW
Winter Haven, FL 33880
Phone (727) 265-5394

120 Bates Ave SW
Winter Haven, FL 33880
Phone (863) 288-0960

Interoperability endpoints

  • Direct secure messaging: kimberlygaznabie@lp.allscriptsdirect.net
  • Direct secure messaging: kimberly.gaznabie.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: kimberly.gaznabie.1@4290.direct.athenahealth.com
  • Direct secure messaging: kimberlygaznabie@amggw.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1366056962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358982",
            "telephone_number": "512-892-7076",
            "fax_number": "855-270-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BATES AVE SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802953",
            "telephone_number": "863-288-0942",
            "fax_number": "863-288-0943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906268",
            "country_code": "US",
            "telephone_number": "860-496-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZNABIE",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026537",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.