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KATHLEEN MARIE KOREM SPERRY ARNP-BC NPI 1780910109


NPI Information

NPI: 1780910109
Provider Name: KATHLEEN MARIE KOREM SPERRY, ARNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 257-1626
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Kathleen Marie Korem Sperry, ARNP-BC is an adult health nurse practitioner in Daytona Beach, FL with 15 years of experience. Kathleen Marie Korem Sperry, ARNP-BC NPI is 1780910109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

731 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114-603
Phone: (386) 257-1626
Fax: (866) 899-3686

The NPI 1780910109 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 10/20/2009 and was last updated on 12/4/2021.


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
1363LA2200XNurse PractitionerAdult HealthARNP1922572FLORIDAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.