Active NPI
Nicole Martitsch-Kreiner, RN/ARNP
- Medical-Surgical Registered Nurse
- Boca Raton, FL
National Provider Identifier
1770226359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 9295689
- Practice address
- 1905 Clint Moore Rd Ste 101
Boca Raton, FL 33496-2696 - Phone
- (561) 912-9191
- Fax
- (561) 372-0989
- NPI assigned
- Apr 20, 2022
- Last updated
- Apr 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 9295689 | FL | Primary |
Addresses
Primary practice location
1905 Clint Moore Rd Ste 101
Boca Raton, FL 33496-2696
Mailing address
3310 NW 64TH St
Ft Lauderdale, FL 33309-1614
Phone (802) 236-7067
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9295689 | FL | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1770226359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 NW 64TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333091614",
"telephone_number": "802-236-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD STE 101",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962696",
"telephone_number": "561-912-9191",
"fax_number": "561-372-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTITSCH-KREINER",
"first_name": "NICOLE",
"credential": "RN/ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "FL",
"license": "9295689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.