Active NPI
Cristina Jorgensen, DNP, ARNP
- Family Nurse Practitioner
- Orange Park, FL
National Provider Identifier
1366894669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9249886
- Practice address
- 3229 Bear Run Blvd BLDG a
Orange Park, FL 32065-7334 - Phone
- (904) 529-2800
- NPI assigned
- Jul 11, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9249886 | FL | Primary |
Addresses
Primary practice location
3229 Bear Run Blvd BLDG a
Orange Park, FL 32065-7334
Mailing address
PO Box 578
Green Cove Springs, FL 32043-0578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018286000 | Medicaid | FL |
Other names 1
- Cristina Puentes
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9249886 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1366894669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320430578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 BEAR RUN BLVD BLDG A",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320657334",
"telephone_number": "904-529-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "CRISTINA",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9249886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018286000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "PUENTES",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.