Individual provider Active NPI

Kristin Marie Danti, FNP-C

  • Family Nurse Practitioner
  • Satellite Beach, FL
National Provider Identifier
1679234876
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017394 Issued in FL
Practice address
1231 S Patrick Dr
Satellite Beach, FL 32937-3956
Phone
(321) 622-5432
Fax
(321) 622-8329
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11017394 FL Primary

Addresses

Primary practice location

1231 S Patrick Dr
Satellite Beach, FL 32937-3956

Mailing address

1231 S Patrick Dr
Satellite Beach, FL 32937-3956
Phone (321) 622-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000583 FL Practitioner - Nurse Practitioner 2860862968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017394FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Family Practice PLLC CurrentSince Dec 13, 2022 Accepting new patients
Total Spine & Wellness PastSince May 1, 2022 Accepting new patients

Locations

1231 South Patrick Dr
Satellite Beach, FL 32937
Phone (321) 622-5432

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1679234876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 S PATRICK DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373956",
            "telephone_number": "321-622-5432",
            "fax_number": "321-622-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 S PATRICK DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373956",
            "telephone_number": "321-622-5432",
            "fax_number": "321-622-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTI",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

Verify at the official NPI Registry.