Katherine Eileen Light, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP579222 Issued in FL

Practice address

150 Clearwater Largo Rd N
Suite 2
Largo, FL 33770-2388

Phone

(727) 518-0822

Fax

(727) 518-6511

NPI assigned

Oct 12, 2006

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Ranjan Mahajan MD

  • Adult Health Nurse Practitioner
  • Largo, FL
  • NPI 1528519253
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1144319450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "KATHERINE",
        "middle_name": "EILEEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP579222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304724500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Lewis
• Erik Nase Libby, LCSW
• Erica Lorraine Liddil, LMFT
• Life Line Counseling Inc (Life Line Counseling)
• Lifestream Behavioral Health
• Lighthouse of Pinellas Inc
• Lightning Counseling LLC
• Richard A. Liles, M.D.
• Victoria H Lin, MD
• Lindsay Linardos, DPT

• Adult Health Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.