Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Thornberry, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710347059

Krista Thornberry, PMHNP-BC is a Nurse Practitioner in Fort Wayne, Indiana. Graduated from University of South Alabama College of Medicine in 2015, 11 years ago. Practices with Evizzit of Iowa Psychiatry PC, a 52-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
11
Trained at
University of South Alabama College of Medicine
Licensed in
IN, OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 344-4035
Fax: (260) 969-9272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71007032A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN.372896 (OH)

Record details

NPI number1710347059
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 29, 2016
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Evizzit Of Iowa Psychiatry Pc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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