Individual provider Active NPI

Katrina Gabrielle Mylett, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1992168355
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9325515 Issued in FL
Practice address
5601 21St Ave W
Suite D
Bradenton, FL 34209-5642
Phone
(941) 313-7142
Fax
(941) 794-2805
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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 ARNP9325515 FL Primary

Addresses

Primary practice location

5601 21St Ave W
Suite D
Bradenton, FL 34209-5642

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

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
I20160712000208 FL Practitioner - Nurse Practitioner 7719279843 Reassigns benefits to 1 organization
Practice locations: Palmetto, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

7431 Manatee Ave W
Maxhealth Physical Therapy
Bradenton, FL 34209-3444
Phone (941) 315-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists, LLC CurrentSince Jan 16, 2017 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Florida Medical Specialists LLC CurrentSince Jan 16, 2017 Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

7431 Manatee Ave W
Bradenton, FL 34209
Phone (941) 313-7142

5601 21st Ave W
Ste D
Bradenton, FL 34209
Phone (941) 313-7142

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1992168355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-313-7142",
            "fax_number": "941-794-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLETT",
        "first_name": "KATRINA",
        "middle_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9325515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.