Catherine L Lavicka, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1057642 Issued in FL

Practice address

14540 Cortez Blvd
Suite 115
Brooksville, FL 34613-6056

Phone

(352) 597-4000

Fax

(352) 597-0550

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Gastroenterology PA

  • Gastroenterology Physician
  • Brooksville, FL
  • NPI 1235246240
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861609752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 BEARFOOT TRL",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136480",
            "telephone_number": "352-592-2403",
            "fax_number": "352-597-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 115",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-597-4000",
            "fax_number": "352-597-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVICKA",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1057642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "1057642",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddy Laroche, MD
• Andrea Latimer
• Kayce Latocha, PA-C
• Amber Lavallee, APRN
• Stacie S Laviano, ARNP
• Caryn Diane Lawrence, DO
• Jennella Elizabeth Lawrence, M.A.
• Robert Lee Lawrence Jr., CRNA
• Sian Marie Laws, LMHC
• Donald Ridgley Lawson

• All providers in Brooksville, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.