Kristine Bartholdson
Individual provider Active NPI Community Health Registered Nurse · New Smyrna Beach, FL
NPI 1285572016 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1285572016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 9194423 (FL)
- Practice address
- 2931 Nordman Ave
New Smyrna Beach, FL 32168-5647 - Phone
- (386) 847-5360
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9194423 | FL | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 9194423 | FL | Yes |
Addresses
Primary practice location
2931 Nordman Ave
New Smyrna Beach, FL 32168-5647
Mailing address
2931 Nordman Ave
New Smyrna Beach, FL 32168-5647
Other providers in New Smyrna Beach, FL
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- Nela F Ballesteros Moyano
- Laura Renninger Ballew
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- Alexa Lee Barnett
- Rachel Bartlett Messick
- Grey Asher Batchelder
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All providers in New Smyrna Beach, FL · Community Health Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.