Kathryn Jean Udell, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN1280482 Issued in FL

Practice address

13774 Plantation Rd Ste 100
Fort Myers, FL 33912-4461

Phone

(239) 236-7777

Fax

(239) 245-7028

NPI assigned

Apr 11, 2007

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1619190105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-590-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13774 PLANTATION RD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124461",
            "telephone_number": "239-236-7777",
            "fax_number": "239-245-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8925 Colonial Center Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33905",
            "country_code": "US",
            "telephone_number": "239-343-9560",
            "fax_number": "239-343-9624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8960 Colonial Center Dr",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339057810",
            "country_code": "US",
            "telephone_number": "239-343-9560",
            "fax_number": "239-343-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDELL",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN1280482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30223400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amalia Tuyas Gonzalez
• Lisa Ann Twitchell, APRN
• Jessica Anne Tyler, APRN
• Nicole Anne Tyrrell, OD
• Joshua Ubbes, DC
• Rusi A Udwadia, MD
• Ufirst Surgery Center
• Princess Cynthia Nneamaka Ufoegbune, M.D.
• Jose Mario Ugarriza Mendoza, MD
• Ugo Airport, Inc (Bluebird Mobility, Inc)

• Adult Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.