Individual provider Active NPI

Kimberly Crestani, ARNP-C

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1740664853
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9265407 Issued in FL
Practice address
2831 Maguire Rd
CVS Minute Clinic
Windermere, FL 34786-6057
Phone
(866) 389-2727
NPI assigned
Jul 17, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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 ARNP9265407 FL Primary

Addresses

Primary practice location

2831 Maguire Rd
CVS Minute Clinic
Windermere, FL 34786-6057

Mailing address

100 Stevenage CT
Longwood, FL 32779-4557
Phone (330) 356-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151007003303 FL Practitioner - Nurse Practitioner 8628386885 Reassigns benefits to 5 organizations
I20240523000328 TN Practitioner - Nurse Practitioner 8628386885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilford Sound Emergency Physicians LLCGroup PAC ID 3678833951, 32 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9265407FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 21, 2015 Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 4, 2016 Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 4, 2016 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince May 25, 2018 Accepting new patients
T M Carr MD PC CurrentSince May 1, 2024 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2831 Maguire Rd
Windermere, FL 34786
Phone (407) 654-0568

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1740664853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STEVENAGE CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794557",
            "telephone_number": "330-356-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 MAGUIRE RD",
            "address_2": "CVS MINUTE CLINIC",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866057",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESTANI",
        "first_name": "KIMBERLY",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9265407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.