Individual provider Active NPI

Krystal Resciniti

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1538971395
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036274 Issued in FL
Practice address
508 S Habana Ave Ste 160
Tampa, FL 33609-4190
Phone
(813) 708-8346
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036274 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 160
Tampa, FL 33609-4190

Mailing address

1521 Scranton St S
Saint Petersburg, FL 33711-2646
Phone (954) 899-3772

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
I20250210003112 FL Practitioner - Nurse Practitioner 3678003324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hesham Fakhri MD PLLCGroup PAC ID 6103182670, 6 clinicians

Practice addresses (Care Compare)

508 S Habana Ave
Suite 160
Tampa, FL 33609-4190
Phone (813) 708-8346

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036274FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hesham Fakhri, MD PLLC CurrentSince Jan 27, 2025 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

301 W Platt St
Ste A428
Tampa, FL 33606

508 S Habana Ave
Ste 160
Tampa, FL 33609
Phone (813) 708-8346

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1538971395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SCRANTON ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337112646",
            "telephone_number": "954-899-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094190",
            "telephone_number": "813-708-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCINITI",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.