Active NPI
Kirstin Nordlund, LMT
- Pain Medicine Physician
- Miami, FL
National Provider Identifier
1053582437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME0055848
- Practice address
- 8353 SW 124TH St
Suite 201
Miami, FL 33156-5851 - Phone
- (786) 732-6915
- NPI assigned
- Mar 13, 2008
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME0055848 | FL | Primary |
Addresses
Primary practice location
8353 SW 124TH St
Suite 201
Miami, FL 33156-5851
Mailing address
8353 SW 124TH St
Suite 201
Miami, FL 33156-5851
Phone (786) 732-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA 58176 | Other | FL | MASSAGE |
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 |
|---|---|---|---|
| ME0055848 | FL | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1053582437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8353 SW 124TH ST",
"address_2": "SUITE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565851",
"telephone_number": "786-732-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8353 SW 124TH ST",
"address_2": "SUITE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565851",
"telephone_number": "786-732-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLUND",
"first_name": "KIRSTIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME0055848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE",
"identifier": "MA 58176",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.