KATIE LYNN PURDY (NPI# 1578952974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578952974 |
| Entity Type | Individual |
| Full Name | KATIE LYNN PURDY |
| Other Name | KATIE LYNN BEDNARIK |
| Credential | PA-C |
| Practice Address |
250 3rd St Nw Ste 201 Winter Haven FL 33881-4605 |
| Practice Telephone | 8633189696 |
| Practice Fax Number | 8633188075 |
| Mailing Telephone | 8633189696 |
| Mailing Fax Number | 8633188075 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9108488 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043614183 | Katie Purdy | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-10-17 |
| Street Address |
250 3RD ST NW STE 201 |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902841406 | Larry R Padgett Jr. | Specialist | 250 3rd St Nw, Suite 201, Winter Haven, FL 33881-4605 | 2006-06-18 |
| 1285017855 | Advanced Orthopedic Surgery | Durable Medical Equipment & Medical Supplies | 250 3rd St Nw, Suite 201, Winter Haven, FL 33881-4605 | 2015-07-01 |
| 1851558076 | Melanie Richter | Occupational Therapist | 250 3rd St Nw, Suite 202, Winter Haven, FL 33881-4605 | 2008-05-16 |
| 1639351398 | Advanced Orthopedic Surgery of Celebration, LLC | Orthopaedic Surgery | 250 3rd St Nw, Suite 201, Winter Haven, FL 33881-4605 | 2007-12-04 |
| 1063617785 | Rehab Health Partners, Inc. | Physical Therapist | 250 3rd St Nw, Suite 202, Winter Haven, FL 33881-4605 | 2007-06-21 |
| 1699894618 | Jeffrey Thomas Banfield | Physical Therapist | 250 3rd St Nw, Suite 202, Winter Haven, FL 33881-4605 | 2007-03-29 |
| 1720115645 | Genola Cablish | Occupational Therapist | 250 3rd St Nw, Suite 202, Winter Haven, FL 33881-4605 | 2007-02-27 |
| 1558429266 | David Cramp | Physical Therapist | 250 3rd St Nw, Suite 202 Velocity Rehab, Winter Haven, FL 33881-4605 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114199700 | Sakeena Baccas | Physician Assistant | 2683 Wyndsor Oaks Way, Winter Haven, FL 33884-3080 | 2008-03-24 |
| 1891004529 | Dave Reid | Physician Assistant | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2010-09-29 |
| 1548213093 | Upendra Paul Harinarine | Physician Assistant | 50 2nd St Se, Winter Haven, FL 33880-6300 | 2006-05-18 |
| 1700839453 | Neurology& Neurosurgery Associates | Physician Assistant | 50 2nd St Se, Winter Haven, FL 33880-6300 | 2006-05-17 |
| 1821066309 | Jason Joseph Donay | Physician Assistant | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.