K Lidz NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

K LIDZ NP IN PSYCHIATRY PLLC

Practice address

6520 SW Thistle Ter
Palm City, FL 34990-3857

Phone

(803) 619-9846

Fax

(803) 913-5275

NPI assigned

Jul 1, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine LidzNPI 1861809998

Title

Owner

Phone

(803) 619-9846

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Kelly Lidz, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm City, FL
  • NPI 1861809998
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1427894310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 NEWBERRY LN",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088438",
            "telephone_number": "803-619-9846",
            "fax_number": "803-913-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 SW THISTLE TER",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903857",
            "telephone_number": "803-619-9846",
            "fax_number": "803-913-5275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112491002",
            "country_code": "US",
            "telephone_number": "803-619-9846",
            "fax_number": "803-913-5275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K LIDZ NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "LIDZ",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-619-9846"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Jones, DDS
• Ashley Marie Jordan
• Chriesty Jordan
• Joseph a West, LMHC
• Patricia Juez
• Barry A Kaler, D.O.
• Courtney Kalinowski, LMHC
• Molly Kathryn Kearns
• Morgan Kelly
• Christine Kenny, DNP

• Psychiatric/Mental Health Nurse Practitioner in Palm City, FL
• Providers in Palm City, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.