Active NPI
Kirenia Santiuste
- Family Nurse Practitioner
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9336030
- Practice address
- 4780 SW 64TH Ave Ste 101
Davie, FL 33314-4400 - Phone
- (954) 434-1705
- Fax
- (954) 218-5354
- NPI assigned
- Aug 29, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9336030 | FL | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP9336030 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9336030 | FL | Primary |
Addresses
Primary practice location
4780 SW 64TH Ave Ste 101
Davie, FL 33314-4400
Mailing address
4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4780 SW 64TH Ave
Suite 101
Davie, FL 33314-4400
Phone (954) 434-1705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9336030 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| North Broward Hospital District | Past | Accepting new patients |
Locations
8880 Royal Palm Blvd
Ste 100
Coral Springs, FL 33065
Phone 9547532411 ext. 238
4780 SW 64th Ave
Ste 101
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4780 SW 64th Ave
Davie, FL 33314
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
Interoperability endpoints
- kirenia.santiuste@amd.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Community/Retail Pharmacy
- Fort Lauderdale, FL
- NPI 1134164965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1396291571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 103",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400",
"telephone_number": "954-434-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 101",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400",
"telephone_number": "954-434-1705",
"fax_number": "954-218-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIUSTE",
"first_name": "KIRENIA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9336030",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP9336030",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9336030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.