KRISTINA LYN KISE (NPI# 1558566414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558566414 |
| Entity Type | Individual |
| Full Name | KRISTINA LYN KISE |
| Credential | M.D. |
| Practice Address |
2180 N Park Ave Suite 324 Winter Park FL 32789-2359 |
| Practice Telephone | 4076478825 |
| Practice Fax Number | 4076478826 |
| Mailing Telephone | 4076478825 |
| Mailing Fax Number | 4076478826 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME108187 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME108187 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2180 N PARK AVE SUITE 324 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639194145 | John M. Tatum | Psychiatry & Neurology | 2180 N Park Ave, Suite 326, Winter Park, FL 32789-2359 | 2006-07-13 |
| 1487019980 | Life Enhancement Series, Inc. | Marriage & Family Therapist | 2180 N Park Ave, Suite 230, Winter Park, FL 32789-2359 | 2015-12-28 |
| 1053782730 | Leslie Moore | Counselor | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2015-10-07 |
| 1346494630 | Mark Stanley Freeman | Counselor | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-11-13 |
| 1396919890 | Monica Gfrorer | Acupuncturist | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2008-04-15 |
| 1134390230 | Andrew Michael Kleiman | Psychiatry & Neurology | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-03-17 |
| 1780860148 | John L Blankemeier | Psychiatry & Neurology | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-01-16 |
| 1558582254 | John M Tatum Md Pa | Psychiatry & Neurology | 2180 N Park Ave, Suite 326, Winter Park, FL 32789-2359 | 2007-05-01 |
| 1841418456 | Jeffrey Lee Prickett | Psychologist | 2180 N Park Ave, #326, Winter Park, FL 32789-2359 | 2007-04-22 |
| 1578786455 | Lori Selwyn Smith | Social Worker | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346558327 | Orlando Integrative Mental Health Plc | Psychiatry & Neurology | 1485 S Semoran Blvd Bldg 6, Suite 1454, Winter Park, FL 32792-5533 | 2010-09-23 |
| 1538248398 | Robert B Goldstein | Psychiatry & Neurology | 2180 Park Ave North, Suite 324, Winter Park, FL 32789-2359 | 2006-11-03 |
| 1881632693 | Rakhee Madan Ward | Psychiatry & Neurology | 2479 Aloma Ave, Winter Park, FL 32792-2541 | 2006-06-03 |
| 1417052309 | Veda R Vyas | Psychiatry & Neurology | 1801 Lee Rd, Suite 220, Winter Park, FL 32789-2162 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.