Individual provider Active NPI

Kathryn Gerlach

  • Nurse Practitioner
  • Largo, FL
National Provider Identifier
1699147967
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11002216 Issued in FL
Practice address
13121 66TH St
Largo, FL 33773-1812
Phone
(727) 314-8180
NPI assigned
Oct 27, 2015
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F1015498 VA
Nurse Practitioner 363L00000X 11002216 FL Primary

Addresses

Primary practice location

13121 66TH St
Largo, FL 33773-1812

Mailing address

13121 66TH St
Largo, FL 33773-1812
Phone (727) 314-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160307000462 VA Practitioner - Nurse Practitioner 5597061275 Reassigns benefits to 1 organization
I20190711000053 FL Practitioner - Nurse Practitioner 5597061275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

1551 W Bay Dr
Suite 101
Largo, FL 33770-2209
Phone (727) 314-8180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002216FLMDNurse Practitioner
F1015498VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Surgical Specialty Group, Inc CurrentSince Jan 6, 2016 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Oct 6, 2024 Accepting new patients
Carrie Shulman MD LLC CurrentSince Jun 10, 2019 Accepting new patients
West Florida Cardiology Network, LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

13121 66th St
Largo, FL 33773
Phone (727) 314-8180

1551 West Bay Dr
Ste 101
Largo, FL 33770
Phone (727) 314-8180

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

601 Childrens Ln
Ste 5A
Norfolk, VA 23507
Phone (757) 668-7990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1699147967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 66TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731812",
            "telephone_number": "727-314-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 66TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731812",
            "telephone_number": "727-314-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "F1015498",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.