Active NPI
Katy Lynn Haddon, APRN, NP-C
- Family Nurse Practitioner
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001022
- Practice address
- 501 SE Osceola St
Stuart, FL 34994-2301 - Phone
- (772) 287-5200
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001022 | FL | Primary |
Addresses
Primary practice location
501 SE Osceola St
Stuart, FL 34994-2301
Mailing address
501 SE Osceola St
Stuart, FL 34994-2301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001022 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862
13060 US Highway 1
Fl Cancer
Sebastian, FL 32958
Phone (772) 589-0879
13060 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 589-0879
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
301 SE Ocean Blvd
Ste 102
Stuart, FL 34994
Phone (772) 287-4061
501 SE Osceola St
Ste 301
Stuart, FL 34994
Phone (772) 223-5955
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- khaddon2496296@direct.ccf.org
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.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1497212807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942301",
"telephone_number": "772-287-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDON",
"first_name": "KATY",
"middle_name": "LYNN",
"credential": "APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.