Kristine Marie Evavold, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11011409 Issued in FL

Practice address

6671 13TH Ave N Ste 1D
St Petersburg, FL 33710-5411

Phone

(727) 381-1147

Fax

(727) 392-5192

NPI assigned

Feb 7, 2007

Last updated

Oct 12, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14859/brand/1/csg/1/fhir/r4
• Direct secure messaging: kevavold413601@orlandohealth.medalliesdirect.net

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.

• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1649946427
  NPD
• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • Largo, FL
  • NPI 1326714106
  NPD (past)
• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • Oldsmar, FL
  • NPI 1609965441
  NPD (past)
• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • Riverview, FL
  • NPI 1831865609
  NPD (past)
• Gwinnett Pediatrics & Adolescent Medicine

  • Pediatrics Physician
  • Lawrenceville, GA
  • NPI 1003940909
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1699815738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROOKER CREEK BLVD STE 215",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772937",
            "telephone_number": "813-854-2003",
            "fax_number": "813-436-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 13TH AVE N STE 1D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105411",
            "telephone_number": "727-381-1147",
            "fax_number": "727-392-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 Walsingham Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743538",
            "country_code": "US",
            "telephone_number": "727-391-0158",
            "fax_number": "727-392-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVAVOLD",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamya Ladeja Evans
• Marivilla Evans, LD
• Nicole Evans, RDMS, RVT
• Sara Evans
• Marissa Evarts
• Evening Pediatrics Inc (Your Kids Urgent Care)
• Evening Pediatrics, Inc (Your Kids Urgent Care)
• Perry Boyd Everett, M.D.
• Carlisa D Everhart
• Everlasting Grace Assisted Living Inc. (Care First)

• Pediatric Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.