NPIMap

Individual provider Active NPI

Kristi Cay Kita, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1770039372
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9209868 Issued in FL
Practice address
3914 E State Road 64
Bradenton, FL 34208-9059
Phone
(941) 216-3800
Fax
(941) 216-3703
NPI assigned
Sep 1, 2016
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9209868 FL Primary

Addresses

Primary practice location

3914 E State Road 64
Bradenton, FL 34208-9059

Mailing address

4407 24TH Ave E
Palmetto, FL 34221-6343
Phone (810) 599-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001982 FL Practitioner - Nurse Practitioner 5597053843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Wound Care Specialists, LLCGroup PAC ID 9638546401, 2 clinicians

Practice addresses (Care Compare)

4407 24TH Ave E
Palmetto, FL 34221-6343
Phone (810) 599-1837

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9209868FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC CurrentSince Oct 20, 2016 Accepting new patients
West Coast Wound Care Specialists, LLC CurrentSince Oct 24, 2022 Accepting new patients
FL-I Medical Services, PA CurrentSince Oct 20, 2016 Accepting new patients
Integritynp, LLC CurrentSince Sep 15, 2023 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Manatee Physician Alliance, LLC Past Accepting new patients
Two Rivers Urgent Care and Wellness Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristi.kita.1@27894.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1770039372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 24TH AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342216343",
            "telephone_number": "810-599-1837",
            "fax_number": "941-216-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITA",
        "first_name": "KRISTI",
        "middle_name": "CAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9209868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.