Karen Lynn Harbst-Citta, ARNP
Individual provider Active NPI Nurse Practitioner · Macclenny, FL
NPI 1477586667 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1477586667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0387711-22 (FL)
- Practice address
- 31 S 5TH St
Macclenny, FL 32063-2301 - Phone
- (904) 259-2725
- Fax
- (904) 259-2407
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medlink Management Services Inc
Practice addresses (Care Compare)
850 E Main St
Lake Butler, FL 32054-1353
Phone (386) 496-2323
Hospital & facility affiliations
- Lake Butler Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018000622 | FL | Practitioner - Nurse Practitioner | 1759341399 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0387711-22 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current |
Accepting new patients | |
| FL-I Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| Medlink Management Services Inc | Current |
Accepting new patients | |
| FL-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Medlink Management Services Inc | Past | Accepting new patients | |
| Florida Neurosurgical Associates PA | Past |
Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
575 SE 3rd Ave
Ste 2
Lake Butler, FL 32054
Phone (386) 496-1922
850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922
575 SE 3rd Ave
Ste 3
Lake Butler, FL 32054
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
1100 11th St SW
Live Oak, FL 32064
Phone (386) 362-0800
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10021331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0387711-22 | FL | Yes |
Addresses
Primary practice location
31 S 5TH St
Macclenny, FL 32063-2301
Mailing address
PO Box 2247
Alachua, FL 32616-2247
Phone (352) 317-8342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305640600 | Medicaid | FL |
Other names
- Karen Harbst-Citta
NPI Registry JSON
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1477586667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2247",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326162247",
"telephone_number": "352-317-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S 5TH ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632301",
"telephone_number": "904-259-2725",
"fax_number": "904-259-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBST-CITTA",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "0387711-22",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305640600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HARBST-CITTA",
"credential": "MSN, ARNP, FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Macclenny, FL
- Deborah L Griggs
- H2 Rehabilitation Services of Florida, LLC
- Tara T Hackney
- Donald O Hall
- Judith Hallstrom
- Annamarie Hardin
- Mark Hardin
- Permeriea Harris-Agyeman
- Amy Michelle Harvey
- Linda Louise Heilman
All providers in Macclenny, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.