Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN CLARK SABOURAULT APRN
NPI 1225994593
Nurse Practitioner - Family in Orlando, FL

Q: What is Kathleen Sabourault's NPI number?

The NPI number for Kathleen Sabourault is 1225994593. It was assigned to this individual provider in the NPPES registry on December 31, 2025. The provider is also known as Katie Sabourault Aprn.

Q: What is Kathleen Sabourault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 31, 2025PECOS Enrolled

2415 N ORANGE AVE STE 502, ORLANDO, FL 32804(407) 303-2801(407) 303-2805 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jan 2, 2026 (2 updates tracked since 2026).

On this page

About Kathleen Clark Sabourault Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN CLARK SABOURAULT APRN (NPI 1225994593) is an individual family provider in Orlando, Florida, licensed in Florida (11040919) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winter Garden.

NPPES Registry Identity

NPI1225994593

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHLEEN CLARK SABOURAULTCredential: APRN

Location Address2415 N ORANGE AVE STE 502Orlando, FL 32804-5503

Mailing Address2012 Bay Clover DrWinter Garden, FL 34787-8843 · (863) 634-3594

Phone(407) 303-2801

Fax(407) 303-2805

Sole ProprietorYes

Enumeration DateDecember 31, 2025

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1225994593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11040919

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 9388260 (FL)

2415 N ORANGE AVE STE 502, Orlando, FL 32804

Open in Google Maps ↗

Other Names 1

Other Name (5)Katie Sabourault Aprn

Secondary Practice Location 1

Location 12012 Bay Clover DrWinter Garden, FL 34787-8843 · Phone (863) 634-3594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Clark Sabourault Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUGHN KOUKOS PA-C

Physician Assistant