KATHERINE PUISIS APRN NPI 1508571332

NPI Information

  • NPI: 1508571332
  • Provider Name: KATHERINE PUISIS, APRN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 E COUNTY ROAD 540A
    LAKELAND, FL
    ZIP 33813
  • Phone: (863) 647-8012

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NPI Details

Katherine Puisis, APRN is a pediatrics nurse practitioner in Lakeland, FL. Katherine Puisis, APRN NPI is 1508571332. 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:

2300 E COUNTY ROAD 540A
LAKELAND, FL
ZIP 33813-825
Phone: (863) 647-8012
Fax: (866) 264-8519

The NPI 1508571332 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 1/17/2023 and was last updated on 4/15/2024.

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
1363LP0200XNurse PractitionerPediatricsAPRN11022855FLORIDAYes

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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