Kristie Lynn Stanko, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018593 Issued in FL

Practice address

903 Lowry Ave
Lakeland, FL 33801-7544

Phone

(866) 234-8534

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristie.stanko.1@12125.direct.athenahealth.com

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.

• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660
  Medicare reassignment NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1831232669
  NPD
• Central Florida Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Winter Haven, FL
  • NPI 1467752998
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dundee, FL
  • NPI 1063408813
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1063409290
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1386835064
  NPD (past)
• Central Florida Health Care, Inc.

  • Multi-Specialty Clinic/Center
  • Dundee, FL
  • NPI 1720247588
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wauchula, FL
  • NPI 1790116911
  NPD (past)

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1578211306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 LOWRY AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338017544",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKO",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116094300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1NDU8",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Stamper, PHARMD
• Mark Raymond Stampfl, MD
• Stand-Up MRI of Lakeland, LLC
• Kyandra Standifer
• Standup Polk
• Sue Ann Stanley-Green, ATC
• Nigel Stanley, RN
• Star Psychology, LLC
• Star Psychology, LLC
• Doran Robert Stark, MD

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.