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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Katerina Fagan, ACNPC-AG

Urology Physician in Crestview, FL · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356911671

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Registry record

Entity type Individual (Type 1)
Name Katerina Fagan
Credential ACNPC-AG
Sex Female
Practice address Crestview, FL, 32539
Phone (850) 605-0550
Fax (850) 605-0440
Enumeration date Jun 29, 2021
Last updated in NPPES May 19, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 11031708 (FL) Primary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN11031708 (FL) Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1046195 (TX) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Katerina Fagan?
Katerina Fagan is registered in NPPES with the primary taxonomy of Urology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-19.