Individual provider Active NPI

Kristine Lavon Fields

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1407653728
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037582 Issued in FL
Practice address
712 W 25TH St
Sanford, FL 32771-4232
Phone
(407) 402-2303
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11037582 FL Primary

Addresses

Primary practice location

712 W 25TH St
Sanford, FL 32771-4232

Mailing address

2766 Grassmoor Loop
Apopka, FL 32712-5008
Phone (407) 883-4229

Other practice location 1

201 N Park Ave Ste 105
Apopka, FL 32703-4121
Phone (407) 889-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11037582FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1407653728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 GRASSMOOR LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125008",
            "telephone_number": "407-883-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 25TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714232",
            "telephone_number": "407-402-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Park Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327034121",
            "country_code": "US",
            "telephone_number": "407-889-1953",
            "fax_number": "407-303-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KRISTINE",
        "middle_name": "LAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.