Active NPI
Kristine Maldonado
- Social Worker
- Port St Lucie, FL
National Provider Identifier
1033589494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 10570 S Federal Hwy
Suite 200
Port St Lucie, FL 34952-5606 - Phone
- (772) 380-9972
- Fax
- (772) 380-9976
- NPI assigned
- Sep 29, 2015
- Last updated
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
10570 S Federal Hwy
Suite 200
Port St Lucie, FL 34952-5606
Mailing address
520 N Semoran Blvd
Suite 280
Orlando, FL 32807-3300
Phone (407) 306-9766
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1033589494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N SEMORAN BLVD",
"address_2": "SUITE 280",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073300",
"telephone_number": "407-306-9766",
"fax_number": "407-306-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10570 S FEDERAL HWY",
"address_2": "SUITE 200",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525606",
"telephone_number": "772-380-9972",
"fax_number": "772-380-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.