Individual provider Active NPI

Kirshline Fleuristal

  • Family Nurse Practitioner
  • Chuluota, FL
National Provider Identifier
1922992445
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035851 Issued in FL
Practice address
1942 W County Road 419 Ste 1060
Chuluota, FL 32766-9024
Phone
(407) 603-9134
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035851 FL Primary

Addresses

Primary practice location

1942 W County Road 419 Ste 1060
Chuluota, FL 32766-9024

Mailing address

976 Leeward PL Unit 301
Altamonte Springs, FL 32714-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627001492 FL Practitioner - Nurse Practitioner 2264945898 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035851FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vraj Medical LLC CurrentSince Jun 24, 2025 Accepting new patients

Locations

1942 W County Road 419
Ste 1060
Chuluota, FL 32766
Phone (407) 603-9134

35 Windsormere Way
Oviedo, FL 32765
Phone (407) 603-9134

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1922992445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 LEEWARD PL UNIT 301",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 W COUNTY ROAD 419 STE 1060",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327669024",
            "telephone_number": "407-603-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURISTAL",
        "first_name": "KIRSHLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chuluota, FL

Sources for this page

Verify at the official NPI Registry.