Individual provider Active NPI

Kaye Knicely Gaines, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1740249044
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2152402 Issued in FL
Practice address
10000 Bay Pines Blvd
Bay Pines VA Healthcare System--BLDG 100-4C Gi Lab
St Petersburg, FL 33708
Phone
(727) 398-6661
NPI assigned
Mar 23, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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 ARNP2152402 FL Primary

Addresses

Primary practice location

10000 Bay Pines Blvd
Bay Pines VA Healthcare System--BLDG 100-4C Gi Lab
St Petersburg, FL 33708

Mailing address

10000 Bay Pines Blvd
Bay Pines VA Healthcare System--BLDG 100-4C Gi Lab
St Petersburg, FL 33708
Phone (727) 398-6661

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

State licenses

LicenseStateTypeSpecialty
ARNP2152402FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1740249044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES VA HEALTHCARE SYSTEM--BLDG 100-4C GI LAB",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661",
            "fax_number": "727-319-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES VA HEALTHCARE SYSTEM--BLDG 100-4C GI LAB",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "KAYE",
        "middle_name": "KNICELY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2152402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.