Christina Marie Ralko, CPNP-PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11019791 Issued in FL

Practice address

360 Town Plaza Ave Ste 330
Ponte Vedra, FL 32081-5175

Phone

(904) 419-9098

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrocklebank436028@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ralko Care

  • Pediatrics Physician
  • Shelby Township, MI
  • NPI 1023714227

  Single Specialty

  NPD Authorized official
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699

  Single Specialty

  NPD
• University of Pittsburgh Physicians

  • Neonatal-Perinatal Medicine Physician
  • Pittsburgh, PA
  • NPI 1518925726

  Single Specialty

  NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004

  Single Specialty

  NPD
• Child and Adolescent Center P C

  • Pediatrics Physician
  • Southgate, MI
  • NPI 1952498875

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1124594288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TOWN PLAZA AVE STE 330",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815175",
            "telephone_number": "904-419-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOWN PLAZA AVE STE 330",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815175",
            "telephone_number": "904-419-9098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45953 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483156217",
            "country_code": "US",
            "telephone_number": "313-629-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALKO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11019791",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11019791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Imaging Associates, LLC
• Shayla Rae, APRN
• Hiro M Rahbar, MD
• Omama Ashraf Rahmany, DO
• Nasrin Datar Raina, M.D.
• Travis Raulerson, MA
• Alice Whitson Regan, RPH
• Kathryn Pray Reneau, LCSW
• Brandi Renfro, DPT
• Sabrina Rensink

• Psychiatric/Mental Health Nurse Practitioner in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.