Individual provider Active NPI

Evelyn Ruth Kikta, A.R.N.P.

  • Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1649256454
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1739202 Issued in FL
Practice address
212 High St
Tarpon Springs, FL 34689-3222
Phone
(727) 422-4036
Fax
(806) 243-4094
NPI assigned
Dec 22, 2005
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 ARNP1739202 FL Primary

Addresses

Primary practice location

212 High St
Tarpon Springs, FL 34689-3222

Mailing address

212 High St
Tarpon Springs, FL 34689-3222
Phone (727) 422-4036

Other identifiers 1

IdentifierTypeStateIssuer
ARNP1739202OtherFLMEDICAL LICENSE

Other names 1

  • Miss Evelyn Ruth Carver Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evwillhelp@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1739202FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarpon Spine Center, Inc CurrentSince Feb 24, 2014 Accepting new patients

Locations

1244 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 858-2603

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, 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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1649256454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGH ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893222",
            "telephone_number": "727-422-4036",
            "fax_number": "806-243-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGH ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893222",
            "telephone_number": "727-422-4036",
            "fax_number": "806-243-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKTA",
        "first_name": "EVELYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1739202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP1739202",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evwillhelp@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR messaging",
            "address_1": "212 High St",
            "city": "Tarpon Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346893222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "CARVER",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.