Kiz Tosi

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APRN11000543 Issued in FL

Practice address

419 Peoria Blvd
Crestview, FL 32536-2248

Phone

(810) 513-3942

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 30, 2024 through Oct 30, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage Wellness Birth Collaborative

  • Obstetrics & Gynecology Nurse Practitioner
  • Crestview, FL
  • NPI 1215820196
  NPD Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1942774807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PEORIA BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362248",
            "telephone_number": "810-513-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PEORIA BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362248",
            "telephone_number": "810-513-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSI",
        "first_name": "KIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Thornton
• Trina Sue Thursby, ARNP, BSN
• E A Tillman, DMD
• Mary-Ellen Dorathy Katrina Tinnerello, APRN
• Debby Torres, M.S., CCC-SLP
• Nicole Toti
• Trae Pappas DDS P.a.
• Charles F Trapp, MD
• Triple E OT Inc
• Laura M. Troglin, PT

• Obstetrics & Gynecology Nurse Practitioner in Crestview, FL
• Providers in Crestview, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.