Individual provider Active NPI

Krystel Johana Perez Prada, FNP-C

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1609704568
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048098 Issued in FL
Practice address
6718 2ND St
Jupiter, FL 33458-3887
Phone
(832) 566-3768
NPI assigned
May 11, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X RN9609653 FL
Family Nurse Practitioner 363LF0000X 11048098 FL Primary

Addresses

Primary practice location

6718 2ND St
Jupiter, FL 33458-3887

Mailing address

6718 2ND St
Jupiter, FL 33458-3887
Phone (832) 566-3768

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9609653FLMDOrthopedic Registered Nurse
11048098FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1609704568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 2ND ST",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583887",
            "telephone_number": "832-566-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 2ND ST",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583887",
            "telephone_number": "832-566-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PRADA",
        "first_name": "KRYSTEL",
        "middle_name": "JOHANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "FL",
            "license": "RN9609653",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.