Individual provider Active NPI

Katarzyna Dibbs

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1902614456
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11036800 Issued in FL
Practice address
3750 Gunn Hwy Ste 306
Tampa, FL 33618-8915
Phone
(813) 500-7183
NPI assigned
Dec 30, 2024
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11036800 FL Primary

Addresses

Primary practice location

3750 Gunn Hwy Ste 306
Tampa, FL 33618-8915

Mailing address

3853 Northdale Blvd # 330
Tampa, FL 33624-1861
Phone (813) 500-7183

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
I20250328000959 FL Practitioner - Nurse Practitioner 1052834256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11036800FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince Feb 21, 2025 Accepting new patients
Directpsych CurrentSince Jun 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3750 Gunn Hwy
Ste 306
Tampa, FL 33618
Phone (813) 500-7183

1819 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 430-0999

Organizations & group practices 2

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1902614456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 NORTHDALE BLVD # 330",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241861",
            "telephone_number": "813-500-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 306",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188915",
            "telephone_number": "813-500-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBS",
        "first_name": "KATARZYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11036800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.