Lydia Gorrette Katikiri

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03220364 Issued in NC

Practice address

1013 Peachtree Town LN
Knightdale, NC 27545-9624

Phone

(919) 985-9098

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1346998671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PEACHTREE TOWN LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459624",
            "telephone_number": "919-985-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PEACHTREE TOWN LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459624",
            "telephone_number": "919-985-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIKIRI",
        "first_name": "LYDIA",
        "middle_name": "GORRETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F03220364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F03220364",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Knightdale",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "raleigh",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Garner",
            "address_1": "1013 Peachtree Town Ln",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275459624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharmaine Raquel Joyner, MSW, LCSWA
• K. Jasinski, D.M.D., P.C.
• Maryanne Wangeci Kamau, LMBT
• Anna Kambour
• Kapital Connections, LLC
• Kelli Eileen Keaton, DPT
• Jennifer Upchurch Keene, MSW, LCSWA
• Jeffrey M Keil, MD
• Kristina Faye Kelley
• Tracy Wogan Kendrick, M.D.

• Family Nurse Practitioner in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.