Individual provider Active NPI

Gerritdina Van Atten-Kireta, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1871915561
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9179093 Issued in FL
Practice address
812 NW 57TH St
Gainesville, FL 32605-6414
Phone
(352) 519-5430
Fax
(352) 333-6249
NPI assigned
Jan 14, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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 ARNP 9179093 FL Primary

Addresses

Primary practice location

812 NW 57TH St
Gainesville, FL 32605-6414

Mailing address

812 NW 57TH St
Gainesville, FL 32605-6414
Phone (352) 519-5430

Other names 1

  • Gerdien Kireta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9179093FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1871915561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056414",
            "telephone_number": "352-519-5430",
            "fax_number": "352-333-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056414",
            "telephone_number": "352-519-5430",
            "fax_number": "352-333-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ATTEN-KIRETA",
        "first_name": "GERRITDINA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9179093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERDIEN",
            "last_name": "KIRETA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.