Kristen Goodyear Szuba, MSN, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11010020 Issued in FL

Practice address

841 Prudential Dr Ste 100
Jacksonville, FL 32207-8346

Phone

(904) 633-4110

Fax

(904) 633-4111

NPI assigned

Jan 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: kszuba528353@direct.shands.ufl.edu

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1871067801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078346",
            "telephone_number": "904-633-4110",
            "fax_number": "904-633-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078346",
            "telephone_number": "904-633-4110",
            "fax_number": "904-633-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUBA",
        "first_name": "KRISTEN",
        "middle_name": "GOODYEAR",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "9436249",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11010020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexsandra Szajna, DPM
• Arpad Szallasi, MD PHD
• Madison Leilani Szar, MD
• Daniela Szeneszi Nodine, MS
• Jane Elizabeth Szerba
• Joseph Christopher Szwartz, O.D.
• Thomas W Szwed, MD
• Theodore Szymanski, DO
• Justyna Szymonik, MD
• T & N Xpress LLC

• Pediatric Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.