Individual provider Active NPI

Kristi M Lord, APRN

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1023667516
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004025 Issued in FL
Practice address
9190 August Cir
St Augustine, FL 32080-8626
Phone
(352) 650-3446
Fax
(904) 341-5529
NPI assigned
Sep 6, 2019
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004025 FL Primary
Wound Care Registered Nurse 163WW0000X 11004025 FL

Addresses

Primary practice location

9190 August Cir
St Augustine, FL 32080-8626

Mailing address

9190 August Cir
St Augustine, FL 32080-8626
Phone (352) 650-3446

Other practice location 1

970 NE 558th St
Old Town, FL 32680-9872
Phone (352) 650-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125001695 FL Practitioner - Nurse Practitioner 2062845464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9190 August Cir
Saint Augustine, FL 32080-8626
Phone (904) 599-6131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Ostomy and Continence Care LLC Family CurrentSince Oct 13, 2019 Accepting new patients
First Coast Wound Care LLC Wound Care CurrentSince Oct 15, 2023 Accepting new patients

Locations

9401 SW Highway 200
Ste 2004
Ocala, FL 34481
Phone (352) 369-9777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1023667516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 AUGUST CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320808626",
            "telephone_number": "352-650-3446",
            "fax_number": "904-341-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 AUGUST CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320808626",
            "telephone_number": "352-650-3446",
            "fax_number": "904-341-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 NE 558th St",
            "address_purpose": "LOCATION",
            "city": "Old Town",
            "state": "FL",
            "postal_code": "326809872",
            "country_code": "US",
            "telephone_number": "352-650-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004025",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "11004025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.