Organization Active NPI

K4 Outcomes, Inc

  • Prosthetic/Orthotic Supplier
  • Naples, FL
National Provider Identifier
1609256528
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
K4 OUTCOMES, INC
Practice address
90 Cypress Way E
Suite 60
Naples, FL 34110-9275
Phone
(239) 307-5520
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Mr. Richard Gingras
Title
President
Phone
(336) 414-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

90 Cypress Way E
Suite 60
Naples, FL 34110-9275

Mailing address

PO Box 110808
Naples, FL 34108-0114
Phone (239) 307-5520

Other identifiers 1

IdentifierTypeStateIssuer
015913100MedicaidFL

National Provider Directory

National Provider Directory

Locations

90 Cypress Way E
Ste 60
Naples, FL 34110
Phone (239) 307-5520

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1609256528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110808",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080114",
            "telephone_number": "239-307-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CYPRESS WAY E",
            "address_2": "SUITE 60",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341109275",
            "telephone_number": "239-307-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K4 OUTCOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-414-5828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015913100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.