Individual provider Active NPI

Patricia Kizilay, FNP

  • Family Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1093898504
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333362-1 Issued in NY
Practice address
1756 Boca Raton CT
Punta Gorda, FL 33950-5137
Phone
(917) 494-2766
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333362-1 NY Primary
Family Nurse Practitioner 363LF0000X 651682 FL

Addresses

Primary practice location

1756 Boca Raton CT
Punta Gorda, FL 33950-5137

Mailing address

1756 Boca Raton CT
Punta Gorda, FL 33950-5137
Phone (917) 494-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
651682FLMDFamily Nurse Practitioner
F333362-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1093898504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 BOCA RATON CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505137",
            "telephone_number": "917-494-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 BOCA RATON CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505137",
            "telephone_number": "917-494-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZILAY",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333362-1",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "651682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.