Individual provider Active NPI

Catherine I McDermott, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1609838119
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9371180 Issued in FL
Practice address
3902 E State Road 64
Bradenton, FL 34208-9059
Phone
(941) 756-1200
Fax
(941) 739-9358
NPI assigned
Apr 3, 2006
Reactivated
Dec 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000159 CT
Adult Health Nurse Practitioner 363LA2200X 000637 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9371180 FL Primary

Addresses

Primary practice location

3902 E State Road 64
Bradenton, FL 34208-9059

Mailing address

3902 E State Road 64
Bradenton, FL 34208-9059
Phone (941) 756-1200

Other identifiers 1

IdentifierTypeStateIssuer
004243672MedicaidCT

Other names 1

  • Catherine I McDermott Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105001473 FL Practitioner - Nurse Practitioner 4385620517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulfside Behavioral Care NP IncGroup PAC ID 5193037190, 3 clinicians

Practice addresses (Care Compare)

8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (941) 756-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.32 of 100Reported as individual
Quality
69.95
Promoting interoperability
62
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000637CTMDAddiction (Substance Use Disorder) Counselor
000159CTMDMedical Physician Assistant
9371180FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Sep 23, 2025 Accepting new patients
Coastal Senior Healthcare Inc CurrentSince Apr 26, 2020 Accepting new patients
Gulfside Behavioral Care NP Inc Psychiatric/Mental Health CurrentSince Apr 27, 2015 Accepting new patients

Locations

3902 E State Road 64
Bradenton, FL 34208
Phone (941) 243-3005

5612 26th St W
Bradenton, FL 34207
Phone (941) 441-2911

3914 E State Road 64
Bradenton, FL 34208
Phone (860) 250-4522

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

13881 Eagle Ridge Dr
Fort Myers, FL 33912
Phone (239) 495-4000

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • Direct secure messaging: catherine.mcdermott.1@16119.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19143/brand/1/csg/1/fhir/r4
  • Direct secure messaging: catherine.mcdermott.1@19143.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1609838119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-756-1200",
            "fax_number": "941-756-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-756-1200",
            "fax_number": "941-739-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "CATHERINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "deactivation_date": "2018-12-20",
        "reactivation_date": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000159",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "000637",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9371180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243672",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MCDERMOTT",
            "middle_name": "I",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.