Kristie Marie Villanueva, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

9213102 Issued in FL

Practice address

750 Wild Flower St
Merritt Island, FL 32953-8055

Phone

(321) 890-2835

NPI assigned

Nov 12, 2017

Last updated

Nov 12, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510444800000",
    "number": "1396258430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WILD FLOWER ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538055",
            "telephone_number": "321-890-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WILD FLOWER ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538055",
            "telephone_number": "321-890-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "KRISTIE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-12",
        "last_updated": "2017-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9213102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole E Venzara
• Jordyn Veres
• Veritas Incare, LLC (Cedar Creek)
• Veritas Senior Living, LLC
• Prerna Vijayvargiya, MD
• Marie-Claire D Villanueva, D.P.M.
• Robert A Ville, DC
• Risa L Vinarub, DPM
• Vip Neurology
• Frederick H Waggener, DDS

• Case Management Registered Nurse in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.