KRYSTLE IVANOV APRN-PMHNP- BC
NPI 1760296362
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

NPI Status: Active since February 04, 2025

Contact Information

225 E LEMON ST STE 105
LAKELAND, FL
ZIP 33801
Phone: (863) 732-7200

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About KRYSTLE IVANOV

This page provides the complete NPI Profile along with additional information for Krystle Ivanov, a provider established in Lakeland, Florida with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1760296362 assigned on February 2025. The practitioner's primary taxonomy code is 363LP0808X with license number APRN11037342 (FL). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1760296362
Provider Name
KRYSTLE IVANOV APRN-PMHNP- BC
Other Name
KRYSTLE TALAG IVANOV
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
225 E LEMON ST STE 105 LAKELAND, FL 33801
Location Phone
(863) 732-7200
Mailing Address
225 E LEMON ST STE 105 LAKELAND, FL 33801
Mailing Phone
(863) 732-7200
Is Sole Proprietor?
Yes
Enumeration Date
02-04-2025
Last Update Date
02-13-2025
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A nurse practitioner (NP) like Krystle Ivanov is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11037342
License State
FL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760296362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271204912312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 4 + 9 + 1 + 2 + 3 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1760296362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699427690DNA COMPREHENSIVE THERAPY SERVICES, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 223-2751
1992450431 SHAUN AARON FLENIKEN
Individual
Nurse Practitioner (Psychiatric/Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(863) 732-7200
1548635287MS. WENDY HEMENEZ LMHC
Individual
Counselor (Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 690-6906
1801357066 JULIE J PETERSON APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(863) 732-7200
1992165427 MELISSA FULTON LMHC
Individual
Counselor (Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 690-6906
1912750209 ANDREA NICOLE BOUVIER LMHC
Individual
Counselor (Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 690-6906
1881223691MRS. MELISSA A PRESCOTT LCSW
Individual
Social Worker (Clinical)225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 690-6906
1972332971 HUYEN BUI PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)225 E LEMON ST STE 105
LAKELAND, FL 33801
(239) 690-6906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760296362, enumerated in the NPI registry as an "individual" on February 04, 2025

The provider is located at 225 E Lemon St Ste 105 Lakeland, Fl 33801 and the phone number is (863) 732-7200

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on February 04, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.