Krista Blau Longmore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

660740 Issued in FL

Practice address

2020 59TH St W
Bradenton, FL 34209-4604

Phone

(941) 792-6611

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Blau Longmore Van Roekel Other name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Home Primary Care LLCGroup PAC ID 6204213614, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palm Garden Home Health Home health agency, Winter Haven, FL, CCN 108022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26544/brand/1/csg/1/fhir/r4
• Direct secure messaging: krista.longmore.1@26544.direct.athenahealth.com

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.

• Healthy Home Primary Care LLC

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1164183869
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summerwood Home Health Services of District 6, LLC

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1497140669
  Care Compare affiliation

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1710603527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMORE",
        "first_name": "KRISTA",
        "middle_name": "BLAU",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "660740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "VAN ROEKEL",
            "middle_name": "BLAU LONGMORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marytza Loiseau
• Deanna Lomax, DO
• Daniel Long II
• Heather Danielle Long, DNP, APRN, FNP-C
• Marissa Long
• Tara Susanne Lonzo, MS, OTR/L
• Stephanie Caridad Loo, DDS
• Juan Jose Lopez-Guzman, MD
• Gerardo Lopez, MD
• Libny Lopez

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, 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 Dec 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.