KRISTINA MCMICAN FNP-BC NPI 1730539701

NPI Information

NPI: 1730539701
Provider Name: KRISTINA MCMICAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1699 SW 16TH AVE
BUILDING A
GAINESVILLE, FL
ZIP 32608
Phone: (352) 334-0206
Get Directions

Kristina Mcmican, FNP-BC is a family nurse practitioner in Gainesville, FL. Kristina Mcmican, FNP-BC NPI is 1730539701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1699 SW 16TH AVE
BUILDING A
GAINESVILLE, FL
ZIP 32608-158
Phone: (352) 334-0206

The NPI 1730539701 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 6/20/2016 and was last updated on 4/10/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN 9315061	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP 9315061	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IX010Z	MEDICARE PIN	FLORIDA
2	018466800	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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