Individual provider Active NPI

Katia Konicek-Stetor, APRN

  • Critical Care Medicine Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1376433714
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN11040540 Issued in FL
Practice address
871 Ibis Walk PL N Unit 2303
St Petersburg, FL 33716-3859
Phone
(352) 615-9213
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11040540 FL
Acute Care Nurse Practitioner 363LA2100X APRN11040540 FL
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11040540 FL Primary

Addresses

Primary practice location

871 Ibis Walk PL N Unit 2303
St Petersburg, FL 33716-3859

Mailing address

871 Ibis Walk PL N Unit 2303
St Petersburg, FL 33716-3859

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11040540FLMDCritical Care Medicine Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1376433714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 IBIS WALK PL N UNIT 2303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 IBIS WALK PL N UNIT 2303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163859",
            "telephone_number": "352-615-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONICEK-STETOR",
        "first_name": "KATIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040540",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11040540",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11040540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.