MR. CHRISTOPHER JASON KATAKOWSKI (NPI# 1760462212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760462212 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER JASON KATAKOWSKI |
| Credential | CRNP |
| Practice Address |
1050 Se Monterey Rd Ste 400 Stuart FL 34994-4512 |
| Practice Telephone | 7722882400 |
| Mailing Telephone | 7722882400 |
| Mailing Fax Number | 7722370981 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9459055 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP008792 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK | 1841874 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Se Monterey Rd Ste 204, Stuart, FL 349944512 | 7722882400 | |
| 450 Hillcrest Avenue, Grove City, PA 161271708 | 7242644864 | 7242644865 |
| 9401 Sw Discovery Way Ste 101, Port Saint Lucie, FL 349872381 | 7722882400 | |
| 9401 Sw Discovery Way Ste 201, Port Saint Lucie, FL 349872381 | 7722882400 |
| Street Address |
1050 SE MONTEREY RD STE 400 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720797 | Caitlyn G Prucinsky | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2005-06-20 |
| 1942740360 | Susannah Johnson | Nurse Practitioner | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2017-03-04 |
| 1982065264 | Nicholas Demarco | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2016-03-14 |
| 1912363623 | Jayce Reed | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2016-01-11 |
| 1962836569 | Robert William Lambert | Physician Assistant | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2013-08-30 |
| 1568809937 | Chaquera Ernesta Jackson | Specialist/Technologist | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2013-05-26 |
| 1588950547 | Alan Ryan Blackburn II | Orthopaedic Surgery | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2011-06-28 |
| 1265744205 | Daniel A. Jones | Orthopaedic Surgery | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994 | 2010-07-07 |
| 1225221047 | Check C. Kam | Orthopaedic Surgery | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2007-08-24 |
| 1093837320 | Sharon Alicia Cain | Licensed Practical Nurse | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966830 | Tatiana S Beir | Nurse Practitioner | 1400 Nw Federal Hwy, Stuart, FL 34994-1020 | 2020-09-11 |
| 1144791575 | Ashley Lynn East | Nurse Practitioner | 1141 Se Indian St Ste 102, Stuart, FL 34997-5764 | 2018-12-11 |
| 1548773096 | Donna J Thomas | Nurse Practitioner | 6581 Se Baltusrol Ter, Stuart, FL 34997-8679 | 2017-11-07 |
| 1508238031 | Nidia Garcia | Nurse Practitioner | 1050 Se Monterey Rd Ste 204, Stuart, FL 34994-4512 | 2015-10-23 |
| 1811241029 | Jeanette Anastacia Reyes | Nurse Practitioner | 931 Se Ocean Blvd Ste A, Stuart, FL 34994-2425 | 2012-11-09 |
| 1083985717 | Elizabeth N Rosainz | Nurse Practitioner | 900 Se Salerno Road, Stuart, FL 34997 | 2012-01-26 |
| 1912289588 | Kim Mohler | Nurse Practitioner | 200 Se Hospital Avenue, Stuart, FL 34995-0417 | 2011-09-09 |
| 1255418307 | Leslie Suzanne Sparks | Nurse Practitioner | 1607 B Nw Federal Hwy, Stuart, FL 34994 | 2006-11-01 |
| 1780618306 | Erika A Cilurso | Nurse Practitioner | 863 Se Monterey Commons Blvd, Stuart, FL 34996 | 2006-07-10 |
| 1184676405 | Mechele Lee Smith | Nurse Practitioner | 2456 Sw Regency Rd, Stuart, FL 34997-1220 | 2006-05-16 |
| Find all providers in STUART | ||||
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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.