Individual provider Active NPI

Kristi A Myers, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar Beach, FL
National Provider Identifier
1699441725
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN9389545 Issued in FL
Practice address
755 Grand Blvd
Miramar Beach, FL 32550-1838
Phone
(919) 605-6309
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 RN9389545 FL Primary

Addresses

Primary practice location

755 Grand Blvd
Miramar Beach, FL 32550-1838

Mailing address

2901 Abbotsford Way
Tallahassee, FL 32312-2801
Phone (919) 605-6309

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
I20211018000277 FL Practitioner - Nurse Practitioner 8426456740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

1616 Physicians Dr
Tallahassee, FL 32308-4619
Phone (850) 431-5910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9389545FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 6, 2025 Accepting new patients
Emerald Coast Memory Clinic, LLC CurrentSince Oct 18, 2021 Accepting new patients
Mosaic Lotus Integrative Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jan 19, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Oct 12, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Oct 12, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 6, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Telos Health Systems FL LLC Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients

Locations

17884 NE Crozier St
Blountstown, FL 32424
Phone (850) 674-5464

306 W Brock Ave
Bonifay, FL 32425
Phone (850) 547-4440

615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777

755 Grand Blvd
Ste 105B278
Miramar Beach, FL 32550
Phone (783) 423-4707

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

980 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 217-6777

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1699441725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ABBOTSFORD WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122801",
            "telephone_number": "919-605-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 GRAND BLVD",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501838",
            "telephone_number": "919-605-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KRISTI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9389545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.