Individual provider Active NPI

Kristyn D'Elia, MSN, FNP-BC

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1760115067
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020636 Issued in FL
Practice address
5697 Coral Ridge Dr
Coral Springs, FL 33076-3160
Phone
(954) 580-4800
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 658779 FL
Family Nurse Practitioner 363LF0000X 11020636 FL Primary

Addresses

Primary practice location

5697 Coral Ridge Dr
Coral Springs, FL 33076-3160

Mailing address

4982 Egret CT
Coconut Creek, FL 33073-2416
Phone (954) 790-0960

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11020636FLMDFamily Nurse Practitioner
658779FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Medical Association PA CurrentSince Jul 10, 2022 Accepting new patients
Childrens Medical Association PA PastSince Jul 10, 2022 Accepting new patients

Locations

5697 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 473-1101

8430 W Broward Blvd
Ste 300
Plantation, FL 33324
Phone (954) 473-1101

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1760115067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 EGRET CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732416",
            "telephone_number": "954-790-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5697 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763160",
            "telephone_number": "954-580-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ELIA",
        "first_name": "KRISTYN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "658779",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.