Individual provider Active NPI

Christina Urso Gustavson, APRN

  • Registered Nurse
  • Palm Springs, FL
National Provider Identifier
1093089559
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
APRN9436626 Issued in FL
Practice address
1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171
Phone
(561) 253-3980
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN9436626 FL Primary
Family Nurse Practitioner 363LF0000X 9436626 FL

Addresses

Primary practice location

1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171

Mailing address

PO Box 160748
Altamonte Springs, FL 32716-0748
Phone (561) 253-3980

Other practice location 1

11621 Kew Gardens Ave Ste 101A
Palm Beach Gardens, FL 33410-2853
Phone (561) 253-3980

Other names 1

  • Christina Elizabeth Urso 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
I20210416001200 FL Practitioner - Nurse Practitioner 8022272657 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9436626FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of South Florida PLLC CurrentSince May 6, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Cancer Center of South Florida PLLC CurrentSince May 6, 2021 Accepting new patients

Locations

11621 Kew Gardens Ave
Ste 101A
Palm Beach Gardens, FL 33410
Phone (561) 832-1234

11382 Prosperity Farms Rd
Ste 228
Palm Beach Gardens, FL 33410

1630 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 621-0012

2751 S Dixie Hwy
Ste 401
West Palm Beach, FL 33405

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cgustavson19963@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: cgustavson189659@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1093089559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160748",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160748",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S CONGRESS AVE STE 200",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612171",
            "telephone_number": "561-253-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11621 Kew Gardens Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102853",
            "country_code": "US",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAVSON",
        "first_name": "CHRISTINA",
        "middle_name": "URSO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "APRN9436626",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9436626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "URSO",
            "middle_name": "ELIZABETH",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.