Individual provider Active NPI

Kristine K Nordstrom, ARNP

  • Adult Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1285695668
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2173772 Issued in FL
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone
(941) 917-2342
Fax
(941) 917-4178
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2173772 FL Primary

Addresses

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Mailing address

PO Box 863407
Orlando, FL 32886-0001
Phone (941) 917-2600

Other practice location 1

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other practice location 2

1070 Iyannough Rd Ste I10
Hyannis, MA 02601-8110
Phone (888) 405-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041217000322 FL Practitioner - Nurse Practitioner 0446217764 Reassigns benefits to 1 organization
I20221220000452 MA Practitioner - Nurse Practitioner 0446217764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

100 Dr Julius Kelley LN
Pocasset, MA 02559-2134
Phone (208) 564-4474

12 Bluebird Rd
Wellesley, MA 02481-3503
Phone (774) 309-4129

290 Kingstown Way
Duxbury, MA 02332-4635
Phone (781) 585-2334

298 Kingstown Way
Duxbury, MA 02332-4647
Phone (784) 694-2205

860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Oct 22, 2023 Accepting new patients
Mamdouh Riad MD PC CurrentSince Dec 14, 2022 Accepting new patients
Good Life Healing Center LLC CurrentSince Jan 22, 2021 Accepting new patients
Blueprint Healthcare LLC CurrentSince Feb 4, 2026 Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Oct 12, 2025 Accepting new patients
Vantage Healthcare LLC CurrentSince Nov 1, 2023 Accepting new patients
Healthcare America Medical Group, Inc. Past Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

5325 Lena Rd
#101
Bradenton, FL 34211
Phone (941) 301-8485

95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

94 Summer St
Fitchburg, MA 01420
Phone (978) 343-3530

100 Independence Dr
Ste 3
Hyannis, MA 02601
Phone (508) 790-4568

1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2967/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1285695668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860001",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-2342",
            "fax_number": "941-917-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Cecelia Drive",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346534935",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "727-232-0644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 Iyannough Rd Ste I10",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026018110",
            "country_code": "US",
            "telephone_number": "888-405-6396",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "KRISTINE",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2173772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.