Crystal Speranza, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11015756 Issued in FL

Practice address

17 N Summerlin Ave Ste 100
Orlando, FL 32801-2951

Phone

(407) 250-6133

NPI assigned

Nov 18, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1649937228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDEN RD APT 327",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031949",
            "telephone_number": "561-601-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N SUMMERLIN AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012951",
            "telephone_number": "407-250-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERANZA",
        "first_name": "CRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11015756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "crystalnp@kivamedspa.com",
            "affiliation": "N",
            "endpointDescription": "Email for clinic use",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "correspondence",
            "address_1": "17 N Summerlin Ave Ste 100",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328012951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Warren Spencer, RRT
• Milaidi Spencer, RN
• Shamika Spencer, ANP-BC
• Shanan Spencer
• Zachary Joseph Spencer
• Jackie Speranza, LPT
• Linda M. Speranza, PHD, ARNP-C
• Sperling Dental PA
• Lauren Sperling, PTA
• Mark Sperling, DMD

• Adult Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.