Active NPI
Kirsten Kulkarni
- Adult Medicine Physician
- Tampa, FL
National Provider Identifier
1538876404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 11012568
- Practice address
- 720 W Dr Martin Luther King Jr Blvd Ste C
Tampa, FL 33603-3134 - Phone
- (813) 533-6000
- NPI assigned
- Nov 1, 2022
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 11012568 | FL | Primary |
Addresses
Primary practice location
720 W Dr Martin Luther King Jr Blvd Ste C
Tampa, FL 33603-3134
Mailing address
5109 W Neptune Way
Tampa, FL 33609-3515
Phone (513) 807-2095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | FL | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kirsten@blueskyehealth.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012568 | FL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1538876404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 W NEPTUNE WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093515",
"telephone_number": "513-807-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W DR MARTIN LUTHER KING JR BLVD STE C",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033134",
"telephone_number": "813-533-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULKARNI",
"first_name": "KIRSTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "11012568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kirsten@blueskyehealth.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "communication",
"address_1": "720 W Dr Martin Luther King Jr Blvd Ste C",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336033134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.