Individual provider Active NPI

Kathryn Mary McFadden, PNP

  • Pediatric Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1922628445
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11006703 Issued in FL
Practice address
1699 SW 16TH Ave BLDG a
Gainesville, FL 32608-1158
Phone
(352) 334-0206
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 57954 FL
Pediatric Nurse Practitioner 363LP0200X APRN11006703 FL Primary

Addresses

Primary practice location

1699 SW 16TH Ave BLDG a
Gainesville, FL 32608-1158

Mailing address

7894 SW 82ND Dr
Gainesville, FL 32608-9523
Phone (919) 924-2604

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
I20200518002185 FL Practitioner - Nurse Practitioner 4688005192 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57954FLMDPediatric Nurse Practitioner
APRN11006703FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince May 11, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 11, 2020 Accepting new patients

Locations

1699 SW 16th Ave
Gainesville, FL 32608
Phone (352) 334-1300

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1699 SW 16th Ave
Bldg A
Gainesville, FL 32608
Phone (352) 265-7019

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Interoperability endpoints

  • Direct secure messaging: kmcfadden418282@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1922628445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7894 SW 82ND DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089523",
            "telephone_number": "919-924-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 SW 16TH AVE BLDG A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081158",
            "telephone_number": "352-334-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "57954",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11006703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.