Kathleen A Gannon, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11035733 Issued in FL

Practice address

3563 Philips Hwy
BLDG. B Suite 201a
Jacksonville Beach, FL 32207

Phone

(904) 202-2557

Fax

(904) 393-2958

NPI assigned

Jan 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baptist Agewell Physicians IncGroup PAC ID 0244480531, 19 clinicians

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
• Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• River Garden Hebrew Home for the Aged Nursing home, Jacksonville, FL, CCN 105016

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgannon257740@baptisthealthsystemjacksonville.direct-ci.com

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.

• Baptist Agewell Physicians Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1306107099

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group
• Arnett Clinic, LLC

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1164490843
  NPD
• Arnett Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, IN
  • NPI 1699839563
  NPD
• Arnett Clinic, LLC

  • Clinical Medical Laboratory
  • Lafayette, IN
  • NPI 1881655090
  NPD
• Beltway Surgery Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1205939345
  NPD
• Indiana University Health Ambulatory Surgery Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1841187143
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baybap, LLC.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1023612884
  Care Compare affiliation
• Brooks Home Care Advantage, Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1184895740
  Care Compare affiliation
• River Garden Hebrew Home for the Aged

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1669479192

  Nursing home

  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1952818809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746636",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746636",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PHILIPS HWY",
            "address_2": "BLDG. B SUITE 201A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-202-2557",
            "fax_number": "904-393-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007340A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035733",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009799",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Micheel Gabriel, MED, LMHC
• Thomas G Gaddis, MD
• Elizabeth K Gainer, LMHC
• Ruple Jayantilal Galani, M.D.
• Maedeh Ganji, MD
• Esteban Garces, APRN
• Gary L. Winfield, M.D., P.a.
• Madison Gatewood, DMD
• Nanette Jolie Gauthier, MCD, CCC-SLP
• Lisa Gawronski

• Nurse Practitioner in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.

Verify at the official NPI Registry.