Kristen Mary Sismilich, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000720 Issued in FL

Practice address

400 N Rome Ave Unit 1412
Tampa, FL 33606-1266

Phone

(813) 362-9681

NPI assigned

Dec 29, 2018

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Wound Care, LLC

  • Wound Care Registered Nurse
  • Tampa, FL
  • NPI 1356036354
  Medicare reassignment NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  FL

  Medicare reassignment NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1508973231
  NPD
• West Florida Cardiology Network, LLC

  dba The Heart Institute

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1801198023
  NPD
• Your Family Walk-in Clinic LLC

  • Health Service Clinic/Center
  • Lutz, FL
  • NPI 1609297928
  NPD (past)

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194297275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ROME AVE UNIT 1412",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061266",
            "telephone_number": "813-362-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ROME AVE UNIT 1412",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061266",
            "telephone_number": "813-362-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISMILICH",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000720",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9376759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siragusa LLC Dba Granny Nannies
• Elizabeth Liu Sirban, APRN
• Danielle L Sirmons
• Mohit Sirohi, MD
• Harshini Sirvisetty
• Maria V Sisneros, PHARMD
• Allexyss Sisouphone
• Trevor John Sisson, MSW
• Sita Duggirala MD PA (Waters Pediatric Center)
• Vanessa Catherine Siwarski

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.