Active NPI
Krista Alise Corbin-Keith, MAT
- Behavior Technician
- Seffner, FL
National Provider Identifier
1275629610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1108 Tiburon Dr
Seffner, FL 33584-5066 - Phone
- (813) 508-8528
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1108 Tiburon Dr
Seffner, FL 33584-5066
Mailing address
5707 N 22ND Street
Mental Health Care Inc
Tampa, FL 33610
Phone (813) 272-2878
Other practice location 1
5707 N 22nd Street
Tampa, FL 33610
Phone (813) 272-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762450600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1275629610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 N 22ND STREET",
"address_2": "MENTAL HEALTH CARE INC",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-272-2878",
"fax_number": "813-272-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 TIBURON DR",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335845066",
"telephone_number": "813-508-8528"
}
],
"practiceLocations": [
{
"address_1": "5707 N 22nd Street",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33610",
"country_code": "US",
"telephone_number": "813-272-2878",
"fax_number": "813-272-3766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBIN-KEITH",
"first_name": "KRISTA",
"middle_name": "ALISE",
"name_prefix": "Mrs.",
"credential": "MAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762450600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.