Individual provider Active NPI

Cristina Cantees, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1083990402
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9253403 Issued in FL
Practice address
2200 W Eau Gallie Blvd
Suite 202-a
Melbourne, FL 32935-3165
Phone
(321) 610-3907
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9253403 FL Primary

Addresses

Primary practice location

2200 W Eau Gallie Blvd
Suite 202-a
Melbourne, FL 32935-3165

Mailing address

2400 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953-4127

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
I20111209000780 FL Practitioner - Nurse Practitioner 7517132152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Health Management LLCGroup PAC ID 4688972896, 5 clinicians

Practice addresses (Care Compare)

1840 Eldron Blvd
Suite 1
Palm Bay, FL 32909-6871
Phone (772) 226-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9253403FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Health Management LLC CurrentSince Apr 15, 2017 Accepting new patients
My Home Doctor, LLC Past Accepting new patients
Medical Associates of Brevard LLC Past Accepting new patients
Brevard Emergency Services Past Accepting new patients

Locations

1840 Eldron Blvd SE
Ste 1
Palm Bay, FL 32909
Phone (321) 312-4580

Interoperability endpoints

  • Direct secure messaging: cristina.canteesaprn@carlsaladinomd.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1083990402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY",
            "address_2": "STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W EAU GALLIE BLVD",
            "address_2": "SUITE 202-A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353165",
            "telephone_number": "321-610-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTEES",
        "first_name": "CRISTINA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9253403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.