Individual provider Active NPI

Krista Nikia Khalik, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1558663971
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5024415 Issued in NC
Practice address
198 Brookhaven Dr
Clayton, NC 27527-6282
Phone
(516) 661-2727
NPI assigned
Nov 18, 2010
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5024415 NC Primary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 346030 NC
Registered Nurse 163W00000X 635350 NY

Addresses

Primary practice location

198 Brookhaven Dr
Clayton, NC 27527-6282

Mailing address

198 Brookhaven Dr
Clayton, NC 27527-6282
Phone (516) 661-2727

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

198 Brookhaven Dr
Clayton, NC 27527-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
346030NCMDRegistered Nurse
635350NYMDRegistered Nurse
5024415NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Mental Wellness LLC Multi-Specialty Current Accepting new patients

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, 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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1558663971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 BROOKHAVEN DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276282",
            "telephone_number": "516-661-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 BROOKHAVEN DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276282",
            "telephone_number": "516-661-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIK",
        "first_name": "KRISTA",
        "middle_name": "NIKIA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024415",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "346030",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.