Katerina Fagan, ACNPC-AG

Individual Active
NPI 1356911671
Urology Physician Crestview, FL

Katerina Fagan, ACNPC-AG is an urology physician practicing in Crestview, FL. The NPI was issued on June 29, 2021, and the record was last updated in NPPES on May 19, 2026. The record lists 3 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X 11031708 (FL)
Acute Care Nurse Practitioner 363LA2100X APRN11031708 (FL)
Acute Care Nurse Practitioner 363LA2100X 1046195 (TX)

Practice locations

435 Brookmeade Dr
Crestview, FL 32539-7304
Phone: (850) 605-0550
320 Racetrack Rd NW Ste 100C
Fort Walton Beach, FL 32547-1796
Phone: (850) 863-0883

Local context

Active NPPES records list 25 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 6 of them within 10 miles.

The same primary taxonomy is listed by 1,552 in Florida and 19,364 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Katerina Fagan
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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