Individual provider Active NPI

Justine Kuroda, ARNP, CRNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1760991756
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006944 Issued in FL
Practice address
6277 Sea Harbor Dr
Orlando, FL 32821-8027
Phone
(689) 210-0520
Fax
(833) 918-2164
NPI assigned
Sep 22, 2017
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018031 PA
Family Nurse Practitioner 363LF0000X 11006944 FL Primary
Ambulatory Care Registered Nurse 163WP2201X RN-503390-L PA

Addresses

Primary practice location

6277 Sea Harbor Dr
Orlando, FL 32821-8027

Mailing address

6277 Sea Harbor Dr
Orlando, FL 32821-8027
Phone (689) 210-0520

Other practice location 1

11555 Regency Village Dr
Orlando, FL 32821-7825
Phone (407) 627-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4101 Charlotte Ave
Suite F185
Nashville, TN 37209-3990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-503390-LPAMDAmbulatory Care Registered Nurse
11006944FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1760991756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6277 SEA HARBOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218027",
            "telephone_number": "689-210-0520",
            "fax_number": "833-918-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 SEA HARBOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218027",
            "telephone_number": "689-210-0520",
            "fax_number": "833-918-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11555 Regency Village Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328217825",
            "country_code": "US",
            "telephone_number": "407-627-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURODA",
        "first_name": "JUSTINE",
        "credential": "ARNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006944",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "PA",
            "license": "RN-503390-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.