Individual provider Active NPI

Kristina J Noziere

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1881415230
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11036075 Issued in FL
Practice address
1033 NE 17TH Way Unit 504
Fort Lauderdale, FL 33304-2480
Phone
(678) 650-6061
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 APRN11036075 FL Primary

Addresses

Primary practice location

1033 NE 17TH Way Unit 504
Fort Lauderdale, FL 33304-2480

Mailing address

1033 NE 17TH Way Unit 504
Fort Lauderdale, FL 33304-2480
Phone (678) 650-6061

Other practice location 1

2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone (720) 507-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250428004319 CO Practitioner - Nurse Practitioner 0749706273 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
Telehealth
Offers telehealth services
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

2675 S Abilene St
Suite 100
Aurora, CO 80014-2363
Phone (720) 507-4779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11036075FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry LLC Psychiatric/Mental Health CurrentSince Apr 23, 2025 Accepting new patients
Mile High Psychiatry, LLC Psychiatric/Mental Health CurrentSince Apr 23, 2025 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

Interoperability endpoints

  • Direct secure messaging: kristina.noziere.1@27879.direct.athenahealth.com

Organizations & group practices 3

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1881415230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 NE 17TH WAY UNIT 504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042480",
            "telephone_number": "678-650-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 NE 17TH WAY UNIT 504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042480",
            "telephone_number": "678-650-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 S Abilene St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142363",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOZIERE",
        "first_name": "KRISTINA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11036075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.