Individual provider Active NPI

Kristina Cooper, AGPCNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1801444377
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11014185 Issued in FL
Practice address
10006 Cross Creek Blvd Ste 518
Tampa, FL 33647-2595
Phone
(856) 625-0540
NPI assigned
Aug 28, 2019
Last updated
Jun 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024178909 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11014185 FL Primary
Registered Nurse 163W00000X RN9597682 FL

Addresses

Primary practice location

10006 Cross Creek Blvd Ste 518
Tampa, FL 33647-2595

Mailing address

3910 River Breeze Cir
Chesapeake, VA 23321-3169

Other practice location 1

3001 Churchland Blvd
Chesapeake, VA 23321-5603
Phone (757) 977-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, OH, IL, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210513000850 VA Practitioner - Nurse Practitioner 2961811435 Reassigns benefits to 2 organizations
I20250703002031 FL Practitioner - Nurse Practitioner 2961811435 Reassigns benefits to 1 organization
I20251125004510 OH Practitioner - Nurse Practitioner 2961811435 Reassigns benefits to 1 organization
I20251224000981 IL Practitioner - Nurse Practitioner 2961811435 Reassigns benefits to 1 organization
I20260102002449 WV Practitioner - Nurse Practitioner 2961811435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Psychiatric Consulting Services, LLCGroup PAC ID 2466601943, 4 clinicians

Practice addresses (Care Compare)

10006 Cross Creek Blvd
Tampa, FL 33647-2595

18 By Pass Plaza SHPG Ctr
Suite 1057
Beckley, WV 25801-2209
Phone (518) 312-4705

4610 A N Illinois St
Unit Suite 120
Fairview Heights, IL 62208-3407
Phone (856) 625-0540

9441 Health Ctr Dr
Land O Lakes, FL 34637-5837
Phone (813) 971-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9597682FLMDRegistered Nurse
11014185FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Xlii, LLC CurrentSince Feb 5, 2021 Accepting new patients
Rooted Wellness Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 10, 2021 Accepting new patients
Elite Psychiatric Consulting Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
BHG Xlii, LLC CurrentSince Feb 5, 2021 Accepting new patients

Locations

9441 Health Center Dr
Land O Lakes, FL 34637
Phone (813) 903-3700

10006 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 676-3636

4610A N Illinois St
Ste 120
Fairview Heights, IL 62208
Phone (856) 625-0540

1121 Worthington Woods Blvd
Worthington, OH 43085
Phone (518) 312-4705

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

1806 Summit Ave
Richmond, VA 23230
Phone (804) 352-2487

5715 Princess Anne Rd
Virginia Beach, VA 23462
Phone (757) 489-1215

18 By Pass Plaza Shpg Ctr
#1057
Beckley, WV 25801
Phone (518) 312-4705

Interoperability endpoints

  • Direct secure messaging: kristina.cooper.1@18731.direct.athenahealth.com

Organizations & group practices 5

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1801444377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 RIVER BREEZE CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 CROSS CREEK BLVD STE 518",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472595",
            "telephone_number": "856-625-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Churchland Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233215603",
            "country_code": "US",
            "telephone_number": "757-977-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KRISTINA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178909",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11014185",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9597682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.