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Deactivated NPI 1528041035 Deactivated / Inactive NPI Female Practitioner

Kathryn Patricia Endicott , ARNP

Specialist • Pinellas Park, 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, Kathryn Endicott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2005
NPI Deactivation Date November 01, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Kathryn Endicott, ARNP was a registered Specialist practicing in Pinellas Park, FL. Throughout an active medical career spanning 18 years, Kathryn Endicott provided care at the practice location at 6020 PARK BLVD. until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

6020 Park Blvd.

Pinellas Park, FL 337813228

Telephone 7275499196
Fax 7275454678

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pinellas Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Pinellas Park, FL (3036 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ARNP3358042

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1700804663

Doctor of Osteopathic Medicine (D.O.), Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2023

Specialist (License #RN3358042 in FL)

NPI Profile Active October 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2014

Registered at 6020 PARK BLVD., PINELLAS PARK, FL 337813228 (Tel: 7275499196)

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Updated Business Mailing Address October 03, 2014

Registered at 6020 PARK BLVD., PINELLAS PARK, FL 337813228 (Tel: 7275489196)

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Provider Name / Credentials Updated October 03, 2014

Recorded as KATHRYN ENDICOTT, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2014

Specialist (License #ARNP3358042 in FL)

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Initial NPI Registration & Enumeration November 29, 2005

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: 1528041035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2005
Last Update: October 03, 2014
Deactivation Date: November 01, 2023

Mailing Address

6020 Park Blvd.

Pinellas Park, FL 337813228

Phone: 7275489196

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.