Individual provider Active NPI

Kirsty Freshwater, ARNP

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1407296726
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9329461 Issued in FL
Practice address
280 Fletcher Dr
Gainesville, FL 32611-2038
Phone
(352) 294-7466
Fax
(352) 846-1422
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9329461 FL Primary

Addresses

Primary practice location

280 Fletcher Dr
Gainesville, FL 32611-2038

Mailing address

280 Fletcher Dr
Gainesville, FL 32611-2038
Phone (352) 294-7466

Other identifiers 1

IdentifierTypeStateIssuer
009574000MedicaidFL

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
I20131106000512 FL Practitioner - Nurse Practitioner 7911132626 Reassigns benefits to 1 organization

National Provider Directory

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kfreshwater220732@direct.shands.ufl.edu

Organizations & group practices 1

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1407296726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 FLETCHER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112038",
            "telephone_number": "352-294-7466",
            "fax_number": "352-846-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FLETCHER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112038",
            "telephone_number": "352-294-7466",
            "fax_number": "352-846-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHWATER",
        "first_name": "KIRSTY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9329461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009574000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.