Active NPI
Catherine I McDermott, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 9371180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004243672 | Medicaid | CT |
Other names 1
- Catherine I McDermott
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 69.95
- Promoting interoperability
- 62
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000637 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 000159 | CT | MD | Medical Physician Assistant |
| 9371180 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Florida - Jacksonville II LLC | Current | Accepting new patients | |
| Coastal Senior Healthcare Inc | Current | Accepting new patients | |
| Gulfside Behavioral Care NP Inc | Psychiatric/Mental Health | Current | 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
- catherine.mcdermott.1@16119.direct.athenahealth.com
- https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/19143/brand/1/csg/1/fhir/r4
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bradenton, FL
- NPI 1659768950
-
- Geriatric Medicine (Family Medicine) Physician
- Bradenton, FL
- NPI 1497289110
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1184354524
FL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Empath Tidewell Hospice
- Community Based Hospice Care Agency
- Sarasota, FL
- NPI 1417954645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.