Kristine Soares

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

220 N Sykes Creek Pkwy Ste 300
Merritt Island, FL 32953-3490

Phone

(321) 459-0303

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1881893675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ANGELA LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SYKES CREEK PKWY STE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533490",
            "telephone_number": "321-459-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "10421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Smith, DPT, PT
• Nancy L Smith, LPN
• Scott Michael Smith, P.A.
• Sierra Paige Smith
• Stephanie Anne Smith, APRN
• Solaris Healthcare Merritt Island LLC
• Solaris Senior Living of Merritt Island LLC
• Jennifer Pham Somoray, DDS
• Felix Anthony Sosa, MD
• Javier J Soto, M.D.

• Occupational Therapy Assistant in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.