Individual provider Active NPI

Kamila Shurii Tursi, FNP-BC

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1619452877
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9199556 Issued in FL
Practice address
9924 Gulf Coast Main St Unit A120
Fort Myers, FL 33913-9026
Phone
(239) 822-2088
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9199556 FL Primary

Addresses

Primary practice location

9924 Gulf Coast Main St Unit A120
Fort Myers, FL 33913-9026

Mailing address

11441 Venetian Lagoon Dr
Fort Myers, FL 33913-9456
Phone (239) 822-2088

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

LicenseStateTypeSpecialty
ARNP9199556FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Med Spa LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1619452877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 VENETIAN LAGOON DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139456",
            "telephone_number": "239-822-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 GULF COAST MAIN ST UNIT A120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139026",
            "telephone_number": "239-822-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURSI",
        "first_name": "KAMILA",
        "middle_name": "SHURII",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9199556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.