Active NPI
David McKitrick
- Registered Nurse
- New Port Richey, FL
National Provider Identifier
1407389299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22924369
- Practice address
- 5006 Trouble Creek Rd
Ste 104
New Port Richey, FL 34652-4922 - Phone
- (727) 286-3176
- Fax
- (727) 286-3177
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22924369 | FL | Primary |
Addresses
Primary practice location
5006 Trouble Creek Rd
Ste 104
New Port Richey, FL 34652-4922
Mailing address
5006 Trouble Creek Rd
Ste 104
New Port Richey, FL 34652-4922
Phone (727) 286-3176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22924369 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Expansion Home Care Services, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- New Port Richey, FL
- NPI 1508262262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1407389299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 TROUBLE CREEK RD",
"address_2": "STE 104",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524922",
"telephone_number": "727-286-3176",
"fax_number": "727-286-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 TROUBLE CREEK RD",
"address_2": "STE 104",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524922",
"telephone_number": "727-286-3176",
"fax_number": "727-286-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKITRICK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "22924369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.