Elena Kouzmina, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11003036 Issued in FL

Practice address

130 JFK Dr Ste 138
Atlantis, FL 33462-6631

Phone

(954) 248-3422

Fax

(800) 970-6020

NPI assigned

Aug 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vitality Integrated Medical Network LLC

  • Gastroenterology Physician
  • Vero Beach, FL
  • NPI 1366136814

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1700430279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "954-248-3422",
            "fax_number": "800-970-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JFK DR STE 138",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626631",
            "telephone_number": "954-248-3422",
            "fax_number": "800-970-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUZMINA",
        "first_name": "ELENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "937252",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11003036",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11003036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Kolek, M.D.
• Harrison Koss, MD
• Ekaterina Kostioukhina, M.D.
• Marie Kotenko, MD
• Joshua G Kouri, MD
• Robert Anthony Kozol, MD
• Eric D Kramer, MD
• Lorena Rose Kratish, PA-C
• Joseph Douglas Krocker, MD
• Tomasz Piotr Kropiwnicki, CSA, MD, PHD

• Adult Health Nurse Practitioner in Atlantis, FL
• Providers in Atlantis, 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 Sep 24, 2019; 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.