Individual provider Active NPI

Alexandra Kitchener, APRN

  • Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1629616552
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003723 Issued in FL
Practice address
1620 Tamiami Trail
Suite 308
Port Charlotte, FL 33948-4017
Phone
(941) 246-2482
Fax
(941) 979-9074
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003723 FL Primary

Addresses

Primary practice location

1620 Tamiami Trail
Suite 308
Port Charlotte, FL 33948-4017

Mailing address

1620 Tamiami Trail
Suite 308
Port Charlotte, FL 33948-4017
Phone (941) 246-2482

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
I20200317001987 FL Practitioner - Nurse Practitioner 2769810100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Heart and Vascular Center PAGroup PAC ID 5799157715, 3 clinicians

Practice addresses (Care Compare)

1620 Tamiami Trail
Suite 308
Port Charlotte, FL 33948-4017

1620 Tamiami TRL
Suite 308
Port Charlotte, FL 33948-4017
Phone (941) 246-2482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003723FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Heart & Vascular Center CurrentSince Aug 1, 2023 Accepting new patients

Locations

1620 Tamiami Trl
Ste 308
Pt Charlotte, FL 33948
Phone (941) 246-2482

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1629616552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRAIL",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-246-2482",
            "fax_number": "941-979-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRAIL",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-246-2482",
            "fax_number": "941-979-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENER",
        "first_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.