Kristopher Oldham, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9441031 Issued in FL

Practice address

1223 Daniels Rd
Winter Garden, FL 34787-3835

Phone

(689) 240-7945

NPI assigned

Jun 4, 2015

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL, CO3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

White-Wilson Medical Center PAGroup PAC ID 4082510607, 48 clinicians

Totally Psyched, LLCGroup PAC ID 7113301680, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristopher.oldham.1@31779.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Totally Psyched, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Garden, FL
  • NPI 1396479697
  Medicare reassignment Care Compare group NPD Authorized official
• White-Wilson Medical Center PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1467437277
  Medicare reassignment Care Compare group NPD
• Totally Psyched Texas LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colleyville, TX
  • NPI 1780527689
  Medicare reassignment NPD Authorized official
• Counseling Resource Services, Inc.

  • Community/Behavioral Health Agency
  • Winter Garden, FL
  • NPI 1164819041
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Thrive Behavioral Sciences Orlando LLC

  • Geriatric Psychiatry Physician
  • Orlando, FL
  • NPI 1063979730
  Medicare reassignment NPD
• Hidden Peaks Psychology, PLLC

  dba Hidden Peaks Psychology

  • Clinical Neuropsychologist
  • Greenwood Village, CO
  • NPI 1275260770
  Medicare reassignment NPD
• WW Medical Center, PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1225981707
  Medicare reassignment
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Mobile Optix PLLC

  • Optometrist
  • Tampa, FL
  • NPI 1346809480
  NPD (past)
• Physician Psych Services PLLC

  • Geriatric Psychiatry Physician
  • Hurst, TX
  • NPI 1811818511
  NPD (past)

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1619357787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 DANIELS RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873835",
            "telephone_number": "689-240-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5004 Thompson Ter Ste 113",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760346130",
            "country_code": "US",
            "telephone_number": "817-856-0509",
            "fax_number": "817-259-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5510 N Hesperides St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336145414",
            "country_code": "US",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "KRISTOPHER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "85572",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9441031",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "85572",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9441031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onyekachi C Obi, M.D.
• Carlos Humberto Ocampo, M.D.
• Chastity M Odies, MSW, LCSW
• Kimberly A. Odishoo, AP
• Carlos Ojeda, MPH, ALT. MEDICINE
• Jennifer Olesen, CCC-SLP
• Victoria Oliveira Da Silva
• Ollie Dental, PLLC (Lifelong Dental)
• Elizabeth Shingleton Olson, LCSW
• Robert Paul Olson, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.