Active NPI
Cristina Lynn Resczenski, DO
- Family Medicine Physician
- Pensacola, FL
National Provider Identifier
1710464037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS18167
- Practice address
- 2315 W Jackson St
Pensacola, FL 32505-7552 - Phone
- (850) 436-4630
- Fax
- (850) 436-2095
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS18167 | FL | Primary |
Addresses
Primary practice location
2315 W Jackson St
Pensacola, FL 32505-7552
Mailing address
2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630
Other practice location 1
5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2381
Other names 1
- Cristina Resczenski Lerner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18167 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Interoperability endpoints
- cresczenski80219@scrippshlth.medalliesdirect.net
Organizations & group practices 1
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1710464037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 W JACKSON ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325057552",
"telephone_number": "850-436-4630",
"fax_number": "850-436-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 W JACKSON ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325057552",
"telephone_number": "850-436-4630",
"fax_number": "850-436-2095"
}
],
"practiceLocations": [
{
"address_1": "5454 El Cajon Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921153621",
"country_code": "US",
"telephone_number": "619-515-2381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESCZENSKI",
"first_name": "CRISTINA",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS18167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "LERNER",
"middle_name": "RESCZENSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.