Individual provider Active NPI

David McKitrick

  • Registered Nurse
  • New Port Richey, FL
National Provider Identifier
1407389299
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22924369 Issued in FL
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

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22924369FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Expansion Home Care Services, Inc. PastSince May 27, 2014 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.

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.

Verify at the official NPI Registry.