Kathleen Freudenberger Jett, N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP 9179046 Issued in FL

Practice address

25426 NW 166TH Ave
High Springs, FL 32643-1658

Phone

(561) 870-3396

NPI assigned

Dec 31, 2006

Last updated

Feb 4, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1649336728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25426 NW 166TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431658",
            "telephone_number": "561-870-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25426 NW 166TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431658",
            "telephone_number": "561-870-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "KATHLEEN",
        "middle_name": "FREUDENBERGER",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9179046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305593100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catalina Hincapie, PA-C
• Holiday CVS LLC (CVS Pharmacy# 04485)
• Jennifer L Hunt
• Lakennya S Hutchinson, APRN
• Jay Robert Jett
• Andrea Colette Johnson, ARNP
• Kristie Johnson, MSN,ARNP,PMHNP-BC
• Colton Jones, CRNA
• Jpa Management LLC
• Scott Kelly

• Gerontology Nurse Practitioner in High Springs, FL
• Providers in High Springs, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.