Individual provider Active NPI

Cathleen Chicoine

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1417499542
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9318496 Issued in FL
Practice address
115 S Missouri Ave
Lakeland, FL 33815-4600
Phone
(863) 583-7100
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9318496 FL Primary

Addresses

Primary practice location

115 S Missouri Ave
Lakeland, FL 33815-4600

Mailing address

2101 Greenway Dr
Winter Haven, FL 33881-1257
Phone (863) 969-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, CA, KS, VA, MN, AZ, TX, KY9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20200225000100 FL Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20251204002035 ME Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260529001075 CA Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260529003487 KS Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260603000376 VA Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260608003315 MN Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260608004057 AZ Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260609003203 TX Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization
I20260610003758 KY Practitioner - Nurse Practitioner 5294162673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

1 California St
Suite 2300
San Francisco, CA 94111-5424

2202 Catalina Ave
Suite 109
Charlotte, NC 28206-2528

2500 Skyline Dr
Lowell, MA 01854-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9318496FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Aug 27, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624

Interoperability endpoints

  • Direct secure messaging: cathleen.chicoine.1@30520.direct.athenahealth.com

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1417499542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GREENWAY DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811257",
            "telephone_number": "863-969-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MISSOURI AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154600",
            "telephone_number": "863-583-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "CATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9318496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.