Active NPI
Kristin M Kronsnoble, PH.D.
- Psychologist
- Tampa, FL
National Provider Identifier
1871596023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5454
- Practice address
- 409 Bayshore Blvd
Tampa, FL 33606-2707 - Phone
- (813) 251-8017
- Fax
- (813) 251-0096
- NPI assigned
- May 23, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5454 | FL | |
| Health Service Psychologist | 103TH0100X | PSY002071 | GA | |
| Health Service Psychologist | 103TH0100X | PY5454 | FL | |
| Psychologist | 103T00000X | PY5454 | FL | Primary |
Addresses
Primary practice location
409 Bayshore Blvd
Tampa, FL 33606-2707
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 251-8017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212084400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkronsnoble8532@direct.tgh.org |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5454 | FL | MD | Health Service Psychologist |
| PSY002071 | GA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelink Healthcare Institute Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1871596023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-251-8017",
"fax_number": "813-251-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 BAYSHORE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062707",
"telephone_number": "813-251-8017",
"fax_number": "813-251-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONSNOBLE",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5454",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "GA",
"license": "PSY002071",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY5454",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212084400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkronsnoble8532@direct.tgh.org",
"affiliation": "N",
"address_1": "409 Bayshore Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336062707",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.