Organization Active NPI

The Kitchell Clinic LLC

Doing business as Kitchell Clinic

  • Sports Medicine (Family Medicine) Physician
  • Vero Beach, FL
National Provider Identifier
1437012549
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
THE KITCHELL CLINIC LLC
Doing business as
Kitchell Clinic
Practice address
1285 36TH St Ste 200B
Vero Beach, FL 32960-6588
Phone
(772) 254-9009
Fax
(877) 682-3204
NPI assigned
Dec 5, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Collin Kitchell, MDNPI 1275945800
Title
MD/Owner
Phone
(772) 254-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Primary

Addresses

Primary practice location

1285 36TH St Ste 200B
Vero Beach, FL 32960-6588

Mailing address

1285 36TH St Ste 200B
Vero Beach, FL 32960-6588
Phone (772) 254-9009

Other names 1

  • Kitchell Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319001213 FL Part B Supplier - Clinic/Group Practice 7113401977 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2337599The Kitchell Clinic LLC1285 36TH Street, Vero Beach, FL 32960Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1437012549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-254-9009",
            "fax_number": "877-682-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-254-9009",
            "fax_number": "877-682-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KITCHELL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "KITCHELL",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "772-254-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitchell Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.