Active NPI
Katiuska Pereira, ARNP
- Family Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1770043879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001876
- Practice address
- 2406 N Federal Hwy
Fort Lauderdale, FL 33305-2541 - Phone
- (954) 860-8687
- NPI assigned
- Mar 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001876 | FL | Primary |
Addresses
Primary practice location
2406 N Federal Hwy
Fort Lauderdale, FL 33305-2541
Mailing address
718 W 36TH St
Hialeah, FL 33012-5138
Phone (305) 510-6414
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001876 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1770043879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 W 36TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125138",
"telephone_number": "305-510-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333052541",
"telephone_number": "954-860-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "KATIUSKA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.