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KRISTIN LEWIS STORES ARNP NPI 1083927073


NPI Information

NPI: 1083927073
Provider Name: KRISTIN LEWIS STORES, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: BAPTIST CARDIOLOGY, INC.

PECOS Registration: Yes

Address:
14546 OLD SAINT AUGUSTINE RD STE 103
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 338-0855
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Kristin Lewis Stores, ARNP is an adult health nurse practitioner in Jacksonville, FL with 18 years of experience. Kristin Lewis Stores, ARNP NPI is 1083927073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

14546 OLD SAINT AUGUSTINE RD STE 103
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL
ZIP 32258-469
Phone: (904) 338-0855
Fax: (904) 338-0852

The NPI 1083927073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 11/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthARNP9246928FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01070656OTHERFLORIDARR MEDICARE
2DL399YMEDICARE PINFLORIDA
3002587400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.