Individual provider Active NPI

Krissle Nicome, APRN

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1255241675
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11050341 Issued in FL
Practice address
201 17TH St S Apt 1128
Saint Petersburg, FL 33712-1742
Phone
(601) 398-5425
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11050341 FL Primary

Addresses

Primary practice location

201 17TH St S Apt 1128
Saint Petersburg, FL 33712-1742

Mailing address

201 17TH St S Apt 1128
Saint Petersburg, FL 33712-1742
Phone (601) 398-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1255241675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 17TH ST S APT 1128",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337121742",
            "telephone_number": "601-398-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 17TH ST S APT 1128",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337121742",
            "telephone_number": "601-398-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOME",
        "first_name": "KRISSLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11050341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.