Individual provider Active NPI

Katherine Reyer, APRN

  • Adult Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1841877636
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11011035 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230213000219 FL Practitioner - Nurse Practitioner 9133591506 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep of Tampa Bay PL Current Accepting new patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Jan 1, 2023 Accepting new patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.