Individual provider Active NPI

Kenzie Nicole Brummett, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, FL
National Provider Identifier
1619868783
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040804 Issued in FL
Practice address
32643 Jesse Jones Ave
San Antonio, FL 33576-7302
Phone
(813) 957-1276
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11040804 FL Primary

Addresses

Primary practice location

32643 Jesse Jones Ave
San Antonio, FL 33576-7302

Mailing address

32643 Jesse Jones Ave
San Antonio, FL 33576-7302

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
I20251103003437 FL Practitioner - Nurse Practitioner 0244720878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians
Olive Health LLCGroup PAC ID 1153739214, 7 clinicians

Practice addresses (Care Compare)

13311 N 56TH St
Tampa, FL 33617-1161
Phone (813) 899-2015

4912 W Trapnell Rd
Plant City, FL 33566-0128
Phone (813) 389-9474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040804FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Nov 17, 2025 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

13311 N 56th St
Temple Terrace, FL 33617
Phone (813) 899-2015

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1619868783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32643 JESSE JONES AVE",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335767302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32643 JESSE JONES AVE",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335767302",
            "telephone_number": "813-957-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMETT",
        "first_name": "KENZIE",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, FL

Sources for this page

Verify at the official NPI Registry.