Krista Mazzarella, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9309994 Issued in FL

Practice address

4141 Abington Woods Cir
Vero Beach, FL 32967-8812

Phone

(941) 219-9517

NPI assigned

Sep 3, 2015

Last updated

Sep 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Jensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1306214671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 ABINGTON WOODS CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329678812",
            "telephone_number": "941-219-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 ABINGTON WOODS CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329678812",
            "telephone_number": "941-219-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "KRISTA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9309994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "JENSEN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori R. May, APRN
• Stephen T Maynard, ARNP
• Suzette Marie Maynard, ARNP
• Alison Mays, PT
• Ashley Cristina Mays, MD
• Michael Anthony Mazziotta II, DPM
• Solana Monique Mazzucco
• MB Community Wellness Provider LLC
• Matthew Mark McAndrew, D.M.D.
• Cathy Helen McCallum

• Family Nurse Practitioner in Vero Beach, FL
• Providers in Vero Beach, 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 Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.