Individual provider Active NPI

Christa Sedney, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1598872384
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9262322 Issued in FL
Practice address
100 E Dakin Ave
Kissimmee, FL 34741-5724
Phone
(321) 233-9282
Fax
(321) 233-9282
NPI assigned
Aug 25, 2006
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9262322 FL Primary

Addresses

Primary practice location

100 E Dakin Ave
Kissimmee, FL 34741-5724

Mailing address

100 E Dakin Ave
Kissimmee, FL 34741-5724
Phone (321) 233-9282

Other identifiers 1

IdentifierTypeStateIssuer
11656900OtherFLCAQH

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
I20081021000410 FL Practitioner - Certified Clinical Nurse Specialist (CNS) 6204870751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revitalizing Infusion Therapies, LLCGroup PAC ID 6305236423, 3 clinicians

Practice addresses (Care Compare)

100 E Dakin Ave
Kissimmee, FL 34741-5724
Phone (321) 442-0192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9262322FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalizing Infusion Therapies, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Elizabeth Winkler-Rogers LLC Psychiatric/Mental Health PastSince Jun 1, 2016 Accepting new patients

Locations

100 E Dakin Ave
Kissimmee, FL 34741
Phone (321) 233-9282

15820 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 401-8855

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, 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1598872384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E DAKIN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415724",
            "telephone_number": "321-233-9282",
            "fax_number": "321-233-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E DAKIN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415724",
            "telephone_number": "321-233-9282",
            "fax_number": "321-233-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDNEY",
        "first_name": "CHRISTA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9262322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11656900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.