MEDICARE: DR. KRISTA NICOLE CAFFREY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11020466	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11020466	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982338695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTA NICOLE CAFFREY APRN

Provider Business Mailing Address
First Line	:	8437 TUTTLE AVE STE 374
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2868
Country	:	US
Telephone Number	:	239-333-5361
Fax Number	:	571-522-2786

Provider Business Practice Location Address
First Line	:	8437 TUTTLE AVE STE 374
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2868
Country	:	US
Telephone Number	:	239-333-5361
Fax Number	:	571-522-2786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	08/07/2025

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