Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krystle Ivanov, APRN-PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760296362

Krystle Ivanov, APRN-PMHNP-BC is a Nurse Practitioner in Lakeland, Florida. Qualified in 2024, 2 years ago. Practices with Dna Comprehensive Therapy Services LLC, a 437-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

225 E Lemon St Ste 105
Lakeland, FL 33801-4632
Phone: (863) 732-7200
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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 APRN11037342 (FL)

Record details

NPI number1760296362
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 4, 2025
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dna Comprehensive Therapy Services Llc — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeland