Christine Aggelis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9286482 Issued in FL

Practice address

456 Royal Poinciana Blvd Unit 3
Tavernier, FL 33070-2244

Phone

(313) 405-0676

NPI assigned

Apr 29, 2017

Last updated

Nov 18, 2022By 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 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL, WA2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  FL

  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1669907457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 ROYAL POINCIANA BLVD UNIT 3",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702244",
            "telephone_number": "313-405-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ROYAL POINCIANA BLVD UNIT 3",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702244",
            "telephone_number": "313-405-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Edwards Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046374",
            "country_code": "US",
            "telephone_number": "313-405-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGELIS",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704277353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9286482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Na",
            "affiliation": "N",
            "endpointDescription": "Na",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Na",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Na",
            "address_1": "55 Boca Chica Rd Lot 50",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330405616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Na",
            "affiliation": "N",
            "endpointDescription": "Na",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Na",
            "address_1": "55 Boca Chica Rd Lot 50",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330405616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dayron L Acebo
• Advanced Behavior Opportunities Inc
• Affiliated Healthcare Centers, Inc
• Agape Health Medical Group LLC (Island Urgent Care)
• Agapemd, LLC (ASAP Urgent Care & Family Medicine)
• Tatiana Agudedlo
• Marilyn R. Allen, MSW
• Altantic Key West Ambulance Inc (American Medical Response)
• Amy's Angels Health Care, Inc.
• Milagros Alice Anampa

• Family Nurse Practitioner in Tavernier, FL
• Providers in Tavernier, 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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.