Athina Lynn Kyritsis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0066650 Issued in FL

Practice address

25243 Elementary Way
Suite 103
Bonita Springs, FL 34135

Phone

(239) 498-9114

Fax

(239) 498-6555

NPI assigned

Jan 14, 2010

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Anchor Health Centers PA

  • Family Medicine Physician
  • Naples, FL
  • NPI 1174571608
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1982934915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25243 ELEMENTARY WAY",
            "address_2": "SUITE 103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-498-9114",
            "fax_number": "239-498-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25243 ELEMENTARY WAY",
            "address_2": "SUITE 103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-498-9114",
            "fax_number": "239-498-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRITSIS",
        "first_name": "ATHINA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0066650",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0066650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Emil Kriz, MSPT, OCS
• Tiffany Delisa Kriz, PT, MSPT
• Tami L Kuhlman, M.D.
• William J Kuzbyt, PSYD
• Kynder Home Health Agency
• Laboratory Corporation of America
• Marilyn Suero Laconsay
• Leonard A Lado, MD
• Michelle Laforme, OTR-L
• Erin Lake, ARNP, FNP-BC

• Family Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.