Individual provider Active NPI

Katie Zajechowski, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1043595713
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106290 Issued in FL
Practice address
708 Goodlette Rd Ste 3023
Naples, FL 34102-5644
Phone
(239) 231-7260
Fax
(239) 567-3667
NPI assigned
Oct 13, 2011
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA9106290 FL Primary

Addresses

Primary practice location

708 Goodlette Rd Ste 3023
Naples, FL 34102-5644

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

681 4th Ave N
Lugert West Building
Naples, FL 34102-5729
Phone (239) 434-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130710000429 FL Practitioner - Physician Assistant 2264672567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Physician Assistant CurrentSince Oct 14, 2024 Accepting new patients
American Oncology Partners, P.a. PastSince Aug 3, 2025 Accepting new patients
American Oncology Partners, P.a. PastSince Nov 9, 2025 Accepting new patients

Locations

2848 Center Pointe Dr
Fl 2
Fort Myers, FL 33916
Phone (239) 318-6284

15455 Collier Blvd
Unit 101
Naples, FL 34119
Phone (239) 231-7258

1890 SW Health Pkwy
Ste 301
Naples, FL 34109
Phone (239) 231-7258

708 Goodlette Rd
Ste 200
Naples, FL 34102
Phone (239) 231-7260

708 Goodlette Rd
Ste 302
Naples, FL 34102
Phone (239) 231-7260

708 Goodlette Rd
Ste 3023
Naples, FL 34102
Phone (239) 231-7260

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1043595713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "239-236-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 GOODLETTE RD STE 3023",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025644",
            "telephone_number": "239-231-7260",
            "fax_number": "239-567-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 4th Ave N",
            "address_2": "Lugert West Building",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025729",
            "country_code": "US",
            "telephone_number": "239-434-2622",
            "fax_number": "239-434-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAJECHOWSKI",
        "first_name": "KATIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.