KRISTIN LEA HOOD PROVENCHER CPNP-PC
NPI 1215280037
Nurse Practitioner - Pediatrics in Orlando, FL

Active since October 17, 2012
615 E PRINCETON ST, SUITE 510, ORLANDO, FL 32803(407) 898-1210(407) 898-2909 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Lea Hood Provencher Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN LEA HOOD PROVENCHER CPNP-PC (NPI 1215280037) is an individual pediatrics provider in Orlando, Florida, licensed in Florida (ARNP 9265639) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1215280037
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTIN LEA HOOD PROVENCHERCredential: CPNP-PC
Location Address615 E PRINCETON ST, SUITE 510Orlando, FL 32803-1456
Mailing AddressPo Box 691597Orlando, FL 32869-1597 · (407) 898-1210 · Fax (407) 898-2909
Fax(407) 898-2909
Sole ProprietorNo
Enumeration DateOctober 17, 2012
Last NPPES UpdateMay 5, 2014
NPI 1215280037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in FL · ARNP 9265639
615 E PRINCETON ST, Orlando, FL 32803

Other Identifiers 3

Medicare PINGS088ZFL
OtherY0E9GFL · Bcbs Of Fl
Medicaid007190500FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
615 E PRINCETON ST
ORLANDO, FL 32803
Obstetrics & Gynecology (Maternal & Fetal Medicine)
615 E PRINCETON ST, SUITE 240
ORLANDO, FL 32803
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
615 E PRINCETON ST, STE 225
ORLANDO, FL 32803
Nurse Practitioner
615 E PRINCETON ST, SUITE 416
ORLANDO, FL 32803
Nurse Practitioner (Pediatrics)
615 E PRINCETON ST, SUITE 310
ORLANDO, FL 32803
Psychiatry & Neurology (Neurology)
615 E PRINCETON ST, SUITE 540
ORLANDO, FL 32803
Psychologist (Clinical)
615 E PRINCETON ST, SUITE 410
ORLANDO, FL 32803
Urology (Pediatric Urology)
615 E PRINCETON ST, STE 310
ORLANDO, FL 32803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Provencher's NPI number?

The NPI number for Kristin Provencher is 1215280037. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Where is Kristin Provencher located?

Kristin Provencher practices at 615 E Princeton St Suite 510, Orlando, FL 32803. The listed phone number is (407) 898-1210.

What is Kristin Provencher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kristin Provencher was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.