Individual provider Active NPI

Kathryn Tapper, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1528488129
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125983 Issued in FL
Practice address
4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone
(239) 799-7219
Fax
(239) 799-7209
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME125983 FL Primary

Addresses

Primary practice location

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887

Mailing address

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone (239) 799-7219

Other identifiers 3

IdentifierTypeStateIssuer
JH045ZOtherFLMEDICARE
V60TCOtherFLBCBS
024038400MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315000769 FL Practitioner - Family Practice 4082830575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Auvan Clinic-Health and Wellness Group LLC CurrentSince Sep 9, 2024 Accepting new patients
Diana Macian MD PLLC Current Accepting new patients

Locations

4270 Tamiami Trl E
Ste 201
Naples, FL 34112
Phone (239) 285-4331

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1528488129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPER",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JH045Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V60TC",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024038400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.