Kaitlin Brooke Constantin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11002733 Issued in FL

Practice address

5282 Hidden Hollow CT
Jacksonville, FL 32224-1820

Phone

(904) 607-4302

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1801456413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 HIDDEN HOLLOW CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241820",
            "telephone_number": "904-607-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 HIDDEN HOLLOW CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241820",
            "telephone_number": "904-607-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIN",
        "first_name": "KAITLIN",
        "middle_name": "BROOKE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conscious Sol, LLC (Insight Psychiatry and Counseling, LLC)
• Katherine V Considine, M.D.
• Consolidated Pharmacy Services (Walk of Hope Boutiqe)
• Consolidated Pharmacy Services, Inc
• Constance L Cooper PA
• Janet Dianne Constantine, LMHC CET II
• Peter Constantinides, PA-C
• Gwendolyn Beatrice Constantino, LMHC
• Osvaldo Contarini, MD
• Laura Contess

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.