Active NPI
Kathryn Gerlach
- Nurse Practitioner
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11002216
- Practice address
- 13121 66TH St
Largo, FL 33773-1812 - Phone
- (727) 314-8180
- NPI assigned
- Oct 27, 2015
- Last updated
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11002216 | FL | MD | Nurse Practitioner |
| F1015498 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Surgical Specialty Group, Inc | Current | Accepting new patients | |
| Greater Tampa Bay Physician Specialists, LLC | Current | Accepting new patients | |
| Carrie Shulman MD LLC | Current | Accepting new patients | |
| West Florida Cardiology Network, LLC | Current | 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
- 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.
-
- Surgery Physician
- Tampa, FL
- NPI 1528492287
-
- Pediatric Surgery Physician
- Norfolk, VA
- NPI 1245248947
-
dba Florida Center for Minimally Invasive Neurosurgery
- Clinic/Center
- Largo, FL
- NPI 1588151906
-
dba The Heart Institute
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1801198023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Largo Hospital
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.