Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn M Herricks, ANP

Individual provider Nurse Practitioner · NPI 1730444597

Kathryn M Herricks, ANP is a Nurse Practitioner in Tampa, Florida. Qualified in 2011, 15 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Illinois.

Years since qualifying
15
Licensed in
FL, IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 N Saint Clair St, Chicago, IL 60611-5975 — (312) 695-0990

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11012287 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209-009175 (IL)

Record details

NPI number1730444597
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing addressPo Box 198441, Atlanta, GA 30384-8441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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