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Deactivated NPI 1124334602 Deactivated / Inactive NPI Female Practitioner

Dr. Kathleen Purcell Washburn , PhD, ARNP, FNP-BC

Nurse Practitioner • Macclenny, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathleen Washburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2010
NPI Deactivation Date September 06, 2012
Total Practice Duration ~2 Years of Practice (2010 – 2012)

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Washburn, PhD, ARNP, FNP-BC was a registered Nurse Practitioner practicing in Macclenny, FL. Throughout an active medical career spanning 2 years, Dr. Washburn provided care at the practice location at 155 NORTH 3RD STREET until profile deactivation on 2012-09-06.

Historical Medicare Part B clinical services included outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, hospital observation care. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

155 North 3rd Street

Macclenny, FL 320630484

Telephone 9046534700
Fax 9046534710

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Macclenny, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Macclenny, FL (8990 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
352 323 $39.00 $19.58

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 0941372

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kristyn Carter , APRN

Nurse Practitioner - Family

NPI 1386518769

Advanced Practice Registered Nurse

Crystal Satterwhite , FNP-C

Nurse Practitioner - Family

NPI 1639927643

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location January 13, 2014

Registered at 155 NORTH 3RD STREET, MACCLENNY, FL 320630484 (Tel: 9046534700)

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Updated Business Mailing Address January 13, 2014

Registered at 155 NORTH 3RD STREET, MACCLENNY, FL 320630484 (Tel: 9046534700)

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Provider Name / Credentials Updated January 13, 2014

Recorded as KATHLEEN WASHBURN, PHD, ARNP, FNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2014

Nurse Practitioner (License #0941372 in FL)

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NPI Profile Reactivated October 19, 2012

Record officially reactivated for active practice on October 19, 2012

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NPI Profile Deactivated September 06, 2012

Record deactivated on September 06, 2012

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Initial NPI Registration & Enumeration August 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124334602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2010
Last Update: January 13, 2014
Deactivation Date: September 06, 2012
Sole Proprietor: No

Mailing Address

155 North 3rd Street

Macclenny, FL 320630484

Phone: 9046534700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.