Shona Kistner

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1900 Land O Lakes Blvd Ste 107
Lutz, FL 33549-2920

Phone

(813) 436-3558

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Simon Enterprises & Investments, LLC

  dba The Play Clinic

  • Clinic/Center
  • Lutz, FL
  • NPI 1891423133
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669210498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14844 SEA MYRTLE LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346673422",
            "telephone_number": "727-478-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAND O LAKES BLVD STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492920",
            "telephone_number": "813-436-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTNER",
        "first_name": "SHONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rhea King, MD
• Vicky A King, MS ATC LAT
• Hailee Kinley
• Maegan Kirst, OTR/L
• Sushama U. Kirtikar, M.A.
• Tajhah Kittling
• Jennifer Kittredge
• Kristen Klabacha, FNP
• Ernst Markus Klaus, MB.CHB., FRCPC RHEUM
• Alina R Klein, MSW

• Developmental Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.