Ekaterina Kostyleva

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11026614 Issued in FL

Practice address

3307 Northlake Blvd Ste 103
Palm Beach Gardens, FL 33403-1703

Phone

(786) 622-2871

NPI assigned

Jun 21, 2023

Last updated

Sep 26, 2025By the provider in NPPES

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

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1932884368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NE 12TH AVE APT 10B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094550",
            "telephone_number": "786-438-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 NORTHLAKE BLVD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031703",
            "telephone_number": "786-622-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTYLEVA",
        "first_name": "EKATERINA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Allen Konkle, LMHC
• Mark A Kontos, MD
• Ellen Koo, MD
• Carleen Korkin
• William Kostelnik, PT
• Kotzen Center for Womens Health Inc
• Jeffrey H Kotzen, M.D.
• Beth Joy Kozak, D.C.
• Ruthann Loraine Kraft, CD, CLD, FCBE
• Dina Kramer, P.T.

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.