Individual provider Active NPI

Katherine Fitzgerald, ARNP

  • Family Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1376567677
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3294092 Issued in FL
Practice address
6000 Southwest 62ND Avenue
Suite 350
South Miami, FL 33143-4717
Phone
(305) 801-7643
Fax
(305) 665-8884
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X ARNP3294092 FL
Family Nurse Practitioner 363LF0000X 3294092 FL Primary

Addresses

Primary practice location

6000 Southwest 62ND Avenue
Suite 350
South Miami, FL 33143-4717

Mailing address

6000 Southwest 62ND Avenue
Suite 350
South Miami, FL 33143-4717
Phone (305) 801-7643

Other identifiers 1

IdentifierTypeStateIssuer
3034071-00MedicaidFL

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
I20180430002498 FL Practitioner - Nurse Practitioner 6406110394 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3294092FLMDRegistered Nurse
3294092FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami PastSince Jan 21, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1376567677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SOUTHWEST 62ND AVENUE",
            "address_2": "SUITE 350",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434717",
            "telephone_number": "305-801-7643",
            "fax_number": "305-665-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SOUTHWEST 62ND AVENUE",
            "address_2": "SUITE 350",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434717",
            "telephone_number": "305-801-7643",
            "fax_number": "305-665-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP3294092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3294092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034071-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.