Active NPI
Kristen S Emond, APRN, FNP-BC
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1306515507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11015300
- Practice address
- 17912 Camargo LN
Orlando, FL 32820-2726 - Phone
- (321) 271-1785
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11015300 | FL | Primary |
Addresses
Primary practice location
17912 Camargo LN
Orlando, FL 32820-2726
Mailing address
17912 Camargo LN
Orlando, FL 32820-2726
Phone (321) 271-1785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11015300 | Other | FL | APRN ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015300 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1306515507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17912 CAMARGO LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328202726",
"telephone_number": "321-271-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17912 CAMARGO LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328202726",
"telephone_number": "321-271-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMOND",
"first_name": "KRISTEN",
"middle_name": "S",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11015300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN ID",
"identifier": "11015300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.