Individual provider Active NPI

Kristin Nichole Darby-Brown

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1083376453
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11012523 Issued in FL
Practice address
12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone
(321) 841-9514
Fax
(407) 636-7864
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 APRN11012523 FL
Adult Health Nurse Practitioner 363LA2200X APRN11012523 FL Primary

Addresses

Primary practice location

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501

Mailing address

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone (321) 841-9514

Other practice location 1

1133 Saxon Blvd
Orange City, FL 32763-8425
Phone (386) 878-4137

Other names 1

  • Kristin Nichole Darby Former name

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
I20230209002147 FL Practitioner - Nurse Practitioner 1153793658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

12780 Waterford Lakes Pkwy
Suite 120
Orlando, FL 32828-4501
Phone (407) 380-5888

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012523FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Nov 1, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jan 31, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jan 31, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

12780 Waterford Lakes Pkwy
Ste 120
Orlando, FL 32828
Phone (407) 380-5888

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1083376453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "321-841-9514",
            "fax_number": "407-636-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "321-841-9514",
            "fax_number": "407-636-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Saxon Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638425",
            "country_code": "US",
            "telephone_number": "386-878-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARBY-BROWN",
        "first_name": "KRISTIN",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012523",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11012523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DARBY",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.