Individual provider Active NPI

Kathleen Friend, ARNP

  • Family Nurse Practitioner
  • Belle Glade, FL
National Provider Identifier
1376699017
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1169282 Issued in FL
Practice address
217 W Avenue a
Belle Glade, FL 33430-3019
Phone
(561) 992-4888
Fax
(561) 996-4358
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1169282 FL
Family Nurse Practitioner 363LF0000X ARNP1169282 FL Primary

Addresses

Primary practice location

217 W Avenue a
Belle Glade, FL 33430-3019

Mailing address

5093 El Claro E
West Palm Beach, FL 33415-2701
Phone (561) 601-4151

Other identifiers 2

IdentifierTypeStateIssuer
101490800MedicaidFL
301829601MedicaidFL

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1169282FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Internal Medicine Inc CurrentSince Aug 22, 2011 Accepting new patients
Sussman & Staller MD PA PastSince Dec 30, 2015 Accepting new patients
The Doctors Center Inc Family Medicine Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 155
Boca Raton, FL 33487
Phone (561) 338-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGACD

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1376699017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5093 EL CLARO E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152701",
            "telephone_number": "561-601-4151",
            "fax_number": "561-478-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303019",
            "telephone_number": "561-992-4888",
            "fax_number": "561-996-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "1169282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1169282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101490800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301829601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.