Active NPI
Christina Urso Gustavson, APRN
- Registered Nurse
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- APRN9436626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9436626 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Center of South Florida PLLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Cancer Center of South Florida PLLC | Current | 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
- cgustavson19963@jupitermedicalcenter.direct-ci.com
- cgustavson189659@direct.tgh.org
- 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.
-
- Oncology Clinic/Center
- Palm Springs, FL
- NPI 1194990333
-
- Hematology & Oncology Physician
- Riverview, FL
- NPI 1558943761
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.