Active NPI
David Koutz, ARNP
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9247168
- Practice address
- 5130 Sunforest Dr Ste 200
Tampa, FL 33634-6322 - Phone
- (657) 400-5180
- NPI assigned
- Jun 10, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9247168 | FL | Primary |
Addresses
Primary practice location
5130 Sunforest Dr Ste 200
Tampa, FL 33634-6322
Mailing address
6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600
3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7373
6400 Brooks Bartram Dr
Jacksonville, FL 32258-5600
Phone (904) 578-7444
Hospital & facility affiliations
- Mayo Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9247168 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of Florida, LLC | Current | Accepting new patients | |
| Physical Medicine Specialists, Inc. | Current | Accepting new patients | |
| Symphony Specialty Group, LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Current | Accepting new patients | |
| Eugene H McCoskey, D.O., P.a. | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Pophealthcare, LLC | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Clay Primary & Family Care LLC | Current | Accepting new patients | |
| Respiratory Critical Care and Sleep Medicine Associates,Inc | Current | Accepting new patients | |
| Pophealthcare, LLC | Family | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910
3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251
1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910
8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390
1555 Kingsley Ave
Ste 404
Orange Park, FL 32073
Phone (904) 215-0700
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
865 Blanding Blvd
Orange Park, FL 32065
Phone (904) 276-1133
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
Interoperability endpoints
- ms_dkoutz@landmarkhealth-direct.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1952343261
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1730186792
-
- Pulmonary Disease Physician
- Orange Park, FL
- NPI 1750733580
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1386622629
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1508815358
-
- Primary Care Nurse Practitioner
- Jacksonville, FL
- NPI 1326617150
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
-
- Specialist
- Jacksonville, FL
- NPI 1831878735
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1891176384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772044",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346322",
"telephone_number": "657-400-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTZ",
"first_name": "DAVID",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-10",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9247168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.