Kristen M Borchetta, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS11986 Issued in FL

Practice address

246 Oakhurst Cir
Kissimmee, FL 34744-4752

Phone

(609) 964-4425

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Abc Pediatrics, P.a.

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1538137815
  NPD (past)
• The Pediatric Center

  • Pediatrics Physician
  • Wellington, FL
  • NPI 1528003365
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1063783272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24006 SW 115TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323160",
            "telephone_number": "561-301-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 OAKHURST CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444752",
            "telephone_number": "609-964-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHETTA",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS11986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010766200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.blueberrypediatrics.com/",
            "affiliation": "N",
            "address_1": "246 Oakhurst Cir",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347444752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marlyn Bonilla
• Yamilet Antonieta Bonilla
• Yareilys D Bonilla
• Lyncoln Mukesh Boodoo, APRN
• Sheron Boothe, LPN
• Patricia Borges Aguilera
• Pavel Borges Cabrera
• Gilda Ivelisse Borras
• Jamie Bosmans, COTA
• Jose Antonio Bosques Torres, MHS

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.