KIESHA MARIE KATSARES ARNP NPI 1083608020

NPI Information

  • NPI: 1083608020
  • Provider Name: KIESHA MARIE KATSARES, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7901 4TH ST N STE 300
    ST PETERSBURG, FL
    ZIP 33702
  • Phone: (813) 669-2553

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NPI Details

Kiesha Marie Katsares, ARNP is an adult health nurse practitioner in St Petersburg, FL. Kiesha Marie Katsares, ARNP NPI is 1083608020. 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:

7901 4TH ST N STE 300
ST PETERSBURG, FL
ZIP 33702-399
Phone: (813) 669-2553
Fax: (813) 608-3964

The NPI 1083608020 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 3/17/2025.

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
1163W00000XRegistered NurseARNP 3088792FLORIDANo
2163WH0200XRegistered NurseHome Health12902OHIONo
3363LA2200XNurse PractitionerAdult HealthARNP3088792FLORIDANo
4363LA2200XNurse PractitionerAdult Health12902OHIONo
5363LA2200XNurse PractitionerAdult HealthNP95019436CALIFORNIAYes

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
1307402100MEDICAIDFLORIDA

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: 3/30/2025

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