Active NPI
Caitlin Emily Cristello
- Registered Nurse
- Tallahassee, FL
National Provider Identifier
1316767619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9600176
- Practice address
- 1300 Medical Dr
Tallahassee, FL 32308-4646 - Phone
- (850) 431-1155
- Fax
- (850) 431-6180
- NPI assigned
- Oct 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9600176 | FL | Primary |
Addresses
Primary practice location
1300 Medical Dr
Tallahassee, FL 32308-4646
Mailing address
5169 Royal Fern Cir
Tallahassee, FL 32317-7497
Phone (941) 445-7597
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 |
|---|---|---|---|
| 9600176 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1316767619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5169 ROYAL FERN CIR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323177497",
"telephone_number": "941-445-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MEDICAL DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084646",
"telephone_number": "850-431-1155",
"fax_number": "850-431-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTELLO",
"first_name": "CAITLIN",
"middle_name": "EMILY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-12",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9600176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.