KATHERINE RENNER OLEKSAK FNP NPI 1780058453

NPI Information

NPI: 1780058453
Provider Name: KATHERINE RENNER OLEKSAK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
16230 SUMMERLIN RD STE 215
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-7474
Get Directions

Katherine Renner Oleksak, FNP is a family nurse practitioner in Fort Myers, FL. Katherine Renner Oleksak, FNP NPI is 1780058453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16230 SUMMERLIN RD STE 215
FORT MYERS, FL
ZIP 33908-769
Phone: (239) 343-7474

The NPI 1780058453 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		5009055	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner		0116420	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	APRN11012415	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111430200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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