Individual provider Active NPI

Kathleen A. Palyo, NP

  • Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1982662011
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000834A Issued in IN
Practice address
1700 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5806
Phone
(407) 891-2965
Fax
(407) 891-2966
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000834A IN Primary

Addresses

Primary practice location

1700 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5806

Mailing address

1700 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5806
Phone (407) 891-2965

Other practice location 1

7900 W Jefferson Blvd
Suite 201
Fort Wayne, IN 46804-4128
Phone (260) 432-2297

Other identifiers 1

IdentifierTypeStateIssuer
200996090MedicaidIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Kidney Clinics LLC PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1982662011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715806",
            "telephone_number": "407-891-2965",
            "fax_number": "407-891-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715806",
            "telephone_number": "407-891-2965",
            "fax_number": "407-891-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 W Jefferson Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044128",
            "country_code": "US",
            "telephone_number": "260-432-2297",
            "fax_number": "260-969-7266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALYO",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000834A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200996090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.