Individual provider Active NPI

Katharine Cassandra Nix, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Atlantic Beach, FL
National Provider Identifier
1962028597
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007572 Issued in FL
Practice address
970 Sailfish Dr
Atlantic Beach, FL 32233-4219
Phone
(978) 660-2473
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 11007572 FL Primary

Addresses

Primary practice location

970 Sailfish Dr
Atlantic Beach, FL 32233-4219

Mailing address

970 Sailfish Dr
Atlantic Beach, FL 32233-4219
Phone (978) 660-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11007572FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: katharine.cassandra.1@31553.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1962028597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SAILFISH DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334219",
            "telephone_number": "978-660-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SAILFISH DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334219",
            "telephone_number": "978-660-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "KATHARINE",
        "middle_name": "CASSANDRA",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.