Active NPI
Kristen Marie Combs, ARNP
- Pediatric Nurse Practitioner
- Ormond Beach, FL
National Provider Identifier
1396128989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9236482
- Practice address
- 200 Booth Rd Ste a
Ormond Beach, FL 32174-5716 - Phone
- (386) 523-1212
- Fax
- (386) 523-1213
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9236482 | FL | Primary |
Addresses
Primary practice location
200 Booth Rd Ste a
Ormond Beach, FL 32174-5716
Mailing address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 254-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015792900 | Medicaid | FL |
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9236482 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Medical Center of Ormond Beach | Past | Accepting new patients |
Interoperability endpoints
- kristen.combs.1@16462.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Specialist
- Ormond Beach, FL
- NPI 1093932113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1396128989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709",
"telephone_number": "386-254-4000",
"fax_number": "386-226-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOOTH RD STE A",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745716",
"telephone_number": "386-523-1212",
"fax_number": "386-523-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9236482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015792900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
- Clinton Stuart Collins, DC
- Peyton Collins, DC
- Margaret E Colpoys, MD
- Robert Daniel Colucci, D.O.
- Elizabeth Ann Combs, L.M.T
- Comfort Medical Supply, LLC
- Amy Comfort
- Comfortable Care Dental Health Professionals
- Comfortable Care Dental Health Professionals, P.a.
- Compassionate Care Psychiatric Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.