Individual provider Active NPI

Cristina Marixa Lopez Seiler, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1356169700
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11037466 Issued in FL
Practice address
841 Prudential Dr Ste 1100
Jacksonville, FL 32207-8352
Phone
(904) 328-7379
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 9610015 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11037466 FL Primary

Addresses

Primary practice location

841 Prudential Dr Ste 1100
Jacksonville, FL 32207-8352

Mailing address

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

Other practice location 1

255 Primera Blvd
Lake Mary, FL 32746-2158
Phone (689) 210-7479

Other practice location 2

203 Fort Wade Rd Unit 260
Ponte Vedra, FL 32081-5214
Phone (904) 344-3613

Other practice location 3

9102 Southpark Center Loop Ste 120
Orlando, FL 32819-8626
Phone (689) 282-6774

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
I20250214000530 FL Practitioner - Nurse Practitioner 6709316177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9610015FLMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
11037466FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

841 Prudential Dr
Ste 1100
Jacksonville, FL 32207
Phone (904) 344-3489

6622 Southpoint Dr S
Ste 400A
Jacksonville, FL 32216
Phone (904) 902-4408

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

255 Primera Blvd
Ste 264
Lake Mary, FL 32746
Phone (689) 206-0540

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

9102 Southpark Center Loop
Ste 120
Orlando, FL 32819
Phone (689) 282-6774

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

203 Fort Wade Rd
Unit 260
Ponte Vedra Beach, FL 32081
Phone (904) 344-3613

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 1

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1356169700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 500",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078352",
            "telephone_number": "904-328-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Primera Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462158",
            "country_code": "US",
            "telephone_number": "689-210-7479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Fort Wade Rd Unit 260",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320815214",
            "country_code": "US",
            "telephone_number": "904-344-3613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9102 Southpark Center Loop Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198626",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ SEILER",
        "first_name": "CRISTINA",
        "middle_name": "MARIXA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "9610015",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11037466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.