KATIE ZAJECHOWSKI (NPI# 1043595713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043595713 |
| Entity Type | Individual |
| Full Name | KATIE ZAJECHOWSKI |
| Credential | PA |
| Practice Address |
681 4th Ave N Lugert West Building Naples FL 34102-5729 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Dept Fort Myers FL 33916-2216 |
| Practice Telephone | 2394342622 |
| Practice Fax Number | 2394346876 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
681 4TH AVE N LUGERT WEST BUILDING |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928841 | Lillian J. Love | Internal Medicine | 681 4th Ave N, Lugert West Building, Naples, FL 34102-5729 | 2005-11-02 |
| 1578100319 | Stephanie Kopel | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2019-11-27 |
| 1285282186 | Emily Guerrero | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2019-09-04 |
| 1700241718 | Colette Joseph | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2015-12-17 |
| 1003183955 | Theresa P Formica | Physician Assistant | 681 4th Ave N, Naples, FL 34102-5729 | 2011-11-21 |
| 1831487107 | Lee H Pavel | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2011-07-20 |
| 1821392341 | Bonnie Bodin | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2010-12-23 |
| 1104053552 | Ferdy Santiago | Internal Medicine | 681 4th Ave N, Naples, FL 34102-5729 | 2009-06-12 |
| 1982846721 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 681 4th Ave N, Naples, FL 34102-5729 | 2009-03-25 |
| 1265672877 | Amanda Lois Reid | Nurse Practitioner | 681 4th Ave N, Lugert West Building, Naples, FL 34102-5729 | 2009-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334331 | Elevate Medical Inc. | Physician Assistant | 2349 Vanderbilt Beach Rd Ste 508, Naples, FL 34109-2776 | 2018-01-23 |
| 1932565371 | Jennifer Catherine Berman | Physician Assistant | 1595 Pine Ridge Rd # 19, Naples, FL 34109-2127 | 2016-01-14 |
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1114299245 | Joshua Stephen Lies | Physician Assistant | 2610 Marshcreek Ln, Unit 102, Naples, FL 34119-7949 | 2012-02-06 |
| 1851669766 | Jennifer Heleniak | Physician Assistant | 1660 Medical Bouelvard, Ste 200, Naples, FL 34110-1416 | 2011-12-06 |
| 1417237785 | Gulf Coast Mobile Medicine, LLC | Physician Assistant | 8655 Ibis Cove Cir, Naples, FL 34119-7728 | 2011-08-18 |
| 1790015600 | Cara Debusk | Physician Assistant | 15495 Tamiami Trl N Ste 119, Naples, FL 34110-6210 | 2009-12-29 |
| 1366693566 | Christopher Thomas Jewell | Physician Assistant | 4085 Tamiami Trl N Ste B203, Naples, FL 34103-8702 | 2008-10-06 |
| 1558559013 | Christina Everswick Espineta | Physician Assistant | 99 Willoughby Drive, Naples, FL 34110 | 2007-10-10 |
| 1942428974 | Weldon Avant Busch | Physician Assistant | 1713 Southwest Health Parkway Suite 1, Naples, FL 34109 | 2007-04-23 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.