Individual provider Active NPI

Christine Claudia Rutayisire, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1265238224
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11037521 Issued in FL
Practice address
2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325
Phone
(321) 340-3490
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11037521 FL Primary

Addresses

Primary practice location

2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325

Mailing address

2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325
Phone (321) 340-3490

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
I20260505001945 FL Practitioner - Nurse Practitioner 6800364266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Behavioral Health LLCGroup PAC ID 1355818030, 7 clinicians

Practice addresses (Care Compare)

13571 Narcoossee Rd
Orlando, FL 32832-7136
Phone (407) 340-3490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11037521FLMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1265238224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 W STATE ROAD 426 STE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658325",
            "telephone_number": "321-340-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 W STATE ROAD 426 STE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658325",
            "telephone_number": "321-340-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAYISIRE",
        "first_name": "CHRISTINE",
        "middle_name": "CLAUDIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.