Kayla Rose Ritzel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041.346642 Issued in IL

Practice address

3857 Calliope Ave
Port Orange, FL 32129-6027

Phone

(618) 580-8051

NPI assigned

Aug 31, 2009

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kayla.ritzel.1@12004.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hands Family Care

  • Family Nurse Practitioner
  • Port Orange, FL
  • NPI 1184345803
  NPD Authorized official
• Highland Pediatrics & Adolescent Medicine

  • Pediatrics Physician
  • Highland, IL
  • NPI 1942321773
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1619100187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 CALLIOPE AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296027",
            "telephone_number": "618-580-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 CALLIOPE AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296027",
            "telephone_number": "618-580-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Mercantile Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491239",
            "country_code": "US",
            "telephone_number": "618-654-4449",
            "fax_number": "618-654-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITZEL",
        "first_name": "KAYLA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.346642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "041.346642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rill
• Ashlyn Ring
• Laura Ringler
• Christopher Robert Ristuccia, DC
• Andrew H Ritter, M.D.
• Roam Chiropractic and Wellness
• Maggie Mae Roberts
• Sandy Lynn Roberts
• Staci Cathy-Sue Roberts, PTA
• Zachary King Roberts

• Family Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.