Brandon Kvistad, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN9476815 Issued in FL

Practice address

206 2ND St E
Bradenton, FL 34208-1042

Phone

(630) 290-1274

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1942837034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 3RD AVE W UNIT 1217",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058692",
            "telephone_number": "630-290-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081042",
            "telephone_number": "630-290-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVISTAD",
        "first_name": "BRANDON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9476815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Kunberger, MD
• Shaan Kunwar, DO
• Gregory Kurgansky
• Ann Louise Kurka, FNP, CWS
• Melanie Kurtz, M.S., BCBA
• L & W Pediatrics PA (Pediatric Partners)
• L L and B Electrocariograms
• L. Carl de Jongh, D.D.S., P.a. (Manatee Endodontics)
• Lisa Marie La Due, EARLY INTERVENTION
• Steven P. La Mania

• Emergency Registered Nurse in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Emergency Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.