Active NPI
Kristina Cooper, AGPCNP
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11014185
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9597682 | FL | MD | Registered Nurse |
| 11014185 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xlii, LLC | Current | Accepting new patients | |
| Rooted Wellness Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Elite Psychiatric Consulting Services, LLC | Current | Accepting new patients | |
| BHG Xlii, LLC | Current | 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
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Virginia Beach, VA
- NPI 1003362484
-
- Psychiatric/Mental Health Nurse Practitioner
- Wimauma, FL
- NPI 1467381954
-
dba BHG Chesapeake South Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Chesapeake, VA
- NPI 1922584366
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.