Individual provider Active NPI

Kristyn Alease Pye, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1841623386
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9262628 Issued in FL
Practice address
7741 Point Meadows Drive
Unit 207
Jacksonville, FL 32256
Phone
(904) 997-0023
Fax
(904) 997-0155
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9262628 FL Primary

Addresses

Primary practice location

7741 Point Meadows Drive
Unit 207
Jacksonville, FL 32256

Mailing address

2121 Park Street
Jacksonville, FL 32204
Phone (904) 387-6200

Other names 1

  • Miss Kristyn Alease Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9262628FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Carithers Pediatric Group CurrentSince Oct 2, 2022 Accepting new patients
Vitalmd Group Holding LLC PastSince Oct 2, 2022 Accepting new patients

Locations

7741 Point Meadows Dr
Ste 207
Jacksonville, FL 32256
Phone 9043879505 ext. 115

2121 Park St
Jacksonville, FL 32204
Phone (904) 387-6200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1841623386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 PARK STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-387-6200",
            "fax_number": "904-387-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 POINT MEADOWS DRIVE",
            "address_2": "UNIT 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-997-0023",
            "fax_number": "904-997-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYE",
        "first_name": "KRISTYN",
        "middle_name": "ALEASE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9262628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYN",
            "last_name": "MILLER",
            "middle_name": "ALEASE",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.