Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Pacocha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386376762

Katelyn Pacocha is a Nurse Practitioner in Hollywood, Florida. Qualified in 2015, 11 years ago. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402
Phone: (484) 574-4554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 11021525 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386376762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 3, 2022
Mailing address6049 Winding Lake Dr, Jupiter, FL 33458-3777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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