Active NPI
Katherine Reyer, APRN
- Adult Health Nurse Practitioner
- Brandon, FL
National Provider Identifier
1841877636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11011035
- Practice address
- 311 Noland Dr
Brandon, FL 33511-5719 - Phone
- (813) 490-9495
- Fax
- (813) 874-0099
- NPI assigned
- Mar 26, 2021
- Last updated
- Mar 26, 2021
- 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 | APRN11011035 | FL | Primary |
Addresses
Primary practice location
311 Noland Dr
Brandon, FL 33511-5719
Mailing address
28882 Revaro LN
Wesley Chapel, FL 33543-7626
Phone (813) 767-7869
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4308 N Habana Ave
Tampa, FL 33607-6362
Phone (813) 654-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Sleep of Tampa Bay PL | Current | Accepting new patients | |
| Pulmonary & Sleep of Tampa Bay PL | Current | Accepting new patients | |
| Pulmonary & Sleep of Tampa Bay PL | Current | Accepting new patients |
Locations
311 Noland Dr
Brandon, FL 33511
Phone (813) 654-8100
4308 N Habana Ave
Tampa, FL 33607
Phone (813) 490-9495
Interoperability endpoints
- katherine.reyer@pstb.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Brandon, FL
- NPI 1821398538
-
- Pulmonary Disease Physician
- Wesley Chapel, FL
- NPI 1952669327
-
- Pulmonary Disease Physician
- Tampa, FL
- NPI 1982907911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1841877636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28882 REVARO LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335437626",
"telephone_number": "813-767-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 NOLAND DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115719",
"telephone_number": "813-490-9495",
"fax_number": "813-874-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYER",
"first_name": "KATHERINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11011035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Luis Jesus Requena Hernandez
- Resilience Rehab & Educational Services LLC
- Restorative Counseling Center, LLC
- Restore Therapy Services of Florida LLC (Restore Outpatient of Brandon)
- Restoring All People Support Center LLC
- Mairet Reyes Vazquez, RBT-25-403760
- Amber Reyes
- Danielle Reyes
- Gloria F. Reyes, RBT
- Madeline Reyes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.