Provider Demographics
NPI:1972927093
Name:CHESHIRE, KRISTY LEIGH (DNP, ARNP, NNP-BC)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:LEIGH
Last Name:CHESHIRE
Suffix:
Gender:F
Credentials:DNP, ARNP, NNP-BC
Other - Prefix:MISS
Other - First Name:KRISTY
Other - Middle Name:LEIGH
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 SAWGRASS CORPORATE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2823
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-527-5510
Practice Address - Street 1:5151 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8721
Practice Address - Country:US
Practice Address - Phone:850-416-7000
Practice Address - Fax:855-527-5510
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9297384163WN0002X
FLARNP9297384363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010707100Medicaid
FLHS027ZMedicare PIN