Individual provider Active NPI

Krista Shepard Seeds, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1194433441
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11022788 Issued in FL
Practice address
228 Plaza Dr Ste D
Lehigh Acres, FL 33936-6054
Phone
(833) 362-7935
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11022788 FL Primary

Addresses

Primary practice location

228 Plaza Dr Ste D
Lehigh Acres, FL 33936-6054

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (833) 362-7935

Other practice location 1

3442 Marbella Ct
Bonita Springs, FL 34134-0902
Phone (833) 362-7935

Other practice location 2

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (833) 362-7935

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
I20231004000058 FL Practitioner - Nurse Practitioner 3274987623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

228 Plaza Dr
Suite D
Lehigh Acres, FL 33936-6054
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022788FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Dna Comprehensive Therapy Services, LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

228 Plaza Dr
Ste D
Lehigh Acres, FL 33936
Phone (239) 491-8204

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: krista.shepard.seeds.1@13142.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1194433441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "833-362-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PLAZA DR STE D",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366054",
            "telephone_number": "833-362-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3442 Marbella Ct",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341340902",
            "country_code": "US",
            "telephone_number": "833-362-7935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Metro Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339169416",
            "country_code": "US",
            "telephone_number": "833-362-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEDS",
        "first_name": "KRISTA",
        "middle_name": "SHEPARD",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.