Active NPI
Jura Tillman Kilpatrick, A
- Adult Health Nurse Practitioner
- Oldsmar, FL
National Provider Identifier
1790838290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP803702
- Practice address
- 601 Brooker Creek Blvd
Oldsmar, FL 34677-2962 - Phone
- (813) 818-3200
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP803702 | FL | Primary |
Addresses
Primary practice location
601 Brooker Creek Blvd
Oldsmar, FL 34677-2962
Mailing address
11514 Walker Rd
Thonotosassa, FL 33592-3618
Phone (813) 986-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020003052 | FL | Practitioner - Nurse Practitioner | 5496839482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790838290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11514 WALKER RD",
"city": "THONOTOSASSA",
"state": "FL",
"postal_code": "335923618",
"telephone_number": "813-986-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROOKER CREEK BLVD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772962",
"telephone_number": "813-818-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "JURA",
"middle_name": "TILLMAN",
"name_prefix": "Mrs.",
"credential": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP803702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.