| Katherine Anita Soine, | |
| 2020 Chaucer Ln, Ponte Vedra, FL 32081-7074 | |
| (407) 274-1788 | |
| Not Available | 
| Full Name | Katherine Anita Soine | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 2020 Chaucer Ln, Ponte Vedra, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255096343 | NPI | - | NPPES | 
| APRN11022542 | Other | FL | APRN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022542 (Florida) | Primary | 
| Entity Name | Rise Psychiatric Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962186155 PECOS PAC ID: 5395272975 Enrollment ID: O20241220000016 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katherine Anita Soine, 2020 Chaucer Ln, Ponte Vedra, FL 32081-7074 Ph: (720) 448-8858 | Katherine Anita Soine, 2020 Chaucer Ln, Ponte Vedra, FL 32081-7074 Ph: (407) 274-1788 | 
| Mr. Nicholas M Kalynych, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081 Phone: 904-412-2593 Fax: 904-686-1817 | |
| Tyra Jean Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
| Yuliya Caprietta, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Town Plaza Ave Ste 310, Ponte Vedra, FL 32081 Phone: 904-824-7733 Fax: 505-485-0681 | |
| Mrs. Christina Marie Ralko, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 Town Plaza Ave Ste 330, Ponte Vedra, FL 32081 Phone: 904-419-9098 | |
| Eteri Agyeyeva,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Town Plaza Ave Ste 202, Ponte Vedra, FL 32081 Phone: 904-834-3440 | |
| Brittany Buchanan Kelly, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
| Mrs. Ashley Michaux, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Ponte Vedra Park Dr, Ponte Vedra, FL 32082 Phone: 904-273-6200 |