Active NPI
Kristen Taylor Rains, NP
- Pediatric Nurse Practitioner
- Melbourne, FL
National Provider Identifier
1053032995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11021636
- Practice address
- 3000 N Wickham Rd Ste 5
Melbourne, FL 32935-2330 - Phone
- (321) 345-1880
- NPI assigned
- Sep 8, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11021636 | FL | Primary |
Addresses
Primary practice location
3000 N Wickham Rd Ste 5
Melbourne, FL 32935-2330
Mailing address
2346 Ramsey Rd SE
Palm Bay, FL 32909-6223
Phone (860) 559-1561
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021636 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1053032995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 RAMSEY RD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096223",
"telephone_number": "860-559-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N WICKHAM RD STE 5",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352330",
"telephone_number": "321-345-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINS",
"first_name": "KRISTEN",
"middle_name": "TAYLOR",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11021636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.