Individual provider Active NPI

Kristina Ann Rickman-Sykes

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, FL
National Provider Identifier
1184254047
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11005522 Issued in FL
Practice address
10564 NW Sr 20 Suite #2
Bristol, FL 32321
Phone
(850) 447-4644
Fax
(850) 655-8951
NPI assigned
Jan 20, 2020
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11005522 FL Primary

Addresses

Primary practice location

10564 NW Sr 20 Suite #2
Bristol, FL 32321

Mailing address

PO Box 443
Hosford, FL 32334-0443
Phone (850) 447-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608001297 FL Practitioner - Nurse Practitioner 1052711348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10564 NW State Rd
20 Suite 2
Bristol, FL 32321-3097
Phone (850) 447-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Ability Plus Mental Health LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients
Florida First Psychiatry Specialist LLC PastSince Jan 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22459/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1184254047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "HOSFORD",
            "state": "FL",
            "postal_code": "323340443",
            "telephone_number": "850-447-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 NW SR 20 SUITE #2",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-447-4644",
            "fax_number": "850-655-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN-SYKES",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, FL

Sources for this page

Verify at the official NPI Registry.