Individual provider Active NPI

Kristie Suzanne Jacobsen, RN

  • Registered Nurse
  • Ave Maria, FL
National Provider Identifier
1811804305
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9370725 Issued in FL
Practice address
5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668
Phone
(239) 867-4395
Fax
(844) 735-8444
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9370725 FL Primary

Addresses

Primary practice location

5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668

Mailing address

5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668
Phone (239) 867-4395

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1811804305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 ANNUNCIATION CIR UNIT 111",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429668",
            "telephone_number": "239-867-4395",
            "fax_number": "844-735-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 ANNUNCIATION CIR UNIT 111",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429668",
            "telephone_number": "239-867-4395",
            "fax_number": "844-735-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "KRISTIE",
        "middle_name": "SUZANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9370725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.