Individual provider Active NPI

Kristin Manning, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1245794114
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11047177 Issued in FL
Practice address
255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158
Phone
(689) 282-6774
NPI assigned
Jan 24, 2019
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05190627 IN
Emergency Registered Nurse 163WE0003X 28107060 IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11047177 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71009126A IN

Addresses

Primary practice location

255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158

Mailing address

255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158
Phone (689) 282-6774

Other practice location 1

9400 Southpark Center Loop Ste 450
Orlando, FL 32819-8647
Phone (689) 282-6774

Other practice location 2

841 Prudential Dr Ste 1100
Jacksonville, FL 32207-8352
Phone (904) 902-4408

Other practice location 3

2200 Forest Ridge Pkwy Ste 310
New Castle, IN 47362-2943
Phone (765) 599-3400

Other practice location 4

152 Wittenbraker Ave
New Castle, IN 47362-5000
Phone (765) 521-0890

Other practice location 5

203 Fort Wade Rd Unit 250
Ponte Vedra Beach, FL 32081-5214
Phone (904) 902-4408

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmanning@hcmh.cernerdirect.com

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
I20260527004319 FL Practitioner - Nurse Practitioner 5496083180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

255 Primera Blvd
Suite 520
Lake Mary, FL 32746-2148

3300 N Triumph Blvd
Suite 500
Lehi, UT 84043-6475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28107060INMDEmergency Registered Nurse
F05190627INMDFamily Nurse Practitioner
APRN11047177FLMDPsychiatric/Mental Health Nurse Practitioner
71009126AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Family CurrentSince Aug 1, 2019 Accepting new patients
Mind Mechanics Psychiatric/Mental Health Current Accepting new patients
Serenity TMS Centers LLC CurrentSince May 8, 2026 Accepting new patients
Henry County Memorial Hospital Family Current Accepting new patients
Henry County Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients

Locations

841 Prudential Dr
Ste 1100
Jacksonville, FL 32207
Phone (904) 328-7379

255 Primera Blvd
Ste 520
Lake Mary, FL 32746
Phone (689) 282-6774

9400 Southpark Center Loop
Ste 450
Orlando, FL 32819
Phone (689) 282-6774

203 Fort Wade Rd
Unit 250
Ponte Vedra Beach, FL 32081
Phone (904) 902-4408

9865 E 116th St
Ste 300
Fishers, IN 46037
Phone (317) 284-8888

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2200 Forest Ridge Pkwy
Ste 310
New Castle, IN 47362
Phone (765) 599-3400

Interoperability endpoints

  • Direct secure messaging: kmanning@hcmh.cernerdirect.com

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1245794114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 520",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "689-282-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD STE 520",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462158",
            "telephone_number": "689-282-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Southpark Center Loop Ste 450",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198647",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078352",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Forest Ridge Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473622943",
            "country_code": "US",
            "telephone_number": "765-599-3400",
            "fax_number": "765-599-3426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Wittenbraker Ave",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473625000",
            "country_code": "US",
            "telephone_number": "765-521-0890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Fort Wade Rd Unit 250",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320815214",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F05190627",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28107060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11047177",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009126A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmanning@hcmh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "152 Wittenbraker Ave",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473625000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.