Active NPI
Kristina Leigh Anne Estis, ATC, NREMT-P
- Athletic Trainer
- Gulf Breeze, FL
National Provider Identifier
1003157330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL2750
- Practice address
- 1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7809 - Phone
- (205) 587-5488
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL2750 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7809
Mailing address
PO Box 2481
Gulf Shores, AL 36547-2481
Phone (205) 587-5488
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2750 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1003157330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2481",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365472481",
"telephone_number": "205-587-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "205-587-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTIS",
"first_name": "KRISTINA",
"middle_name": "LEIGH ANNE",
"name_prefix": "Mrs.",
"credential": "ATC, NREMT-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
- Emerald Coast Pediatric Sleep Consultants, LLC
- Emerald Shores Rheumatology Inc
- Empower Professional Counseling Services, LLC
- Endoscopy Center of Gulf Breeze LLC
- Ennoble HC FL LLC
- Jimmy D Eubanks Jr., R.PH.
- Excalibur Telemedical Services
- Exos - Athletes' Performance Florida LLC
- Tracy A Ezelle, ARNP
- Mary Margaret Fabian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.