Active NPI
Kriselle Rondon, NP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1104983188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9190291
- Practice address
- 3000 Hunters Creek Blvd
Orlando, FL 32837-6901 - Phone
- (407) 857-2502
- Fax
- (407) 857-1855
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9190291 | FL | Primary |
Addresses
Primary practice location
3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Mailing address
3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9190291 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/12492/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/23396/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1104983188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HUNTERS CREEK BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376901",
"telephone_number": "407-857-2502",
"fax_number": "407-857-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HUNTERS CREEK BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376901",
"telephone_number": "407-857-2502",
"fax_number": "407-857-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDON",
"first_name": "KRISELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9190291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.