Individual provider Active NPI

Geleen Salcedo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1013031459
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11026858 Issued in FL
Practice address
7157 Narcoossee Rd Unit 1001
Orlando, FL 32822-5533
Phone
(913) 340-0164
NPI assigned
Mar 19, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11026858 FL Primary
Physical Therapist 225100000X 22445 FL

Addresses

Primary practice location

7157 Narcoossee Rd Unit 1001
Orlando, FL 32822-5533

Mailing address

7157 Narcoossee Rd Unit 1001
Orlando, FL 32822-5533
Phone (913) 340-0164

Other practice location 1

8601 Commodity Cir
Orlando, FL 32819-9003
Phone (407) 605-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218000037 FL Practitioner - Nurse Practitioner 6204356538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22445FLMDPhysical Therapist
11026858FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crew Community Health, Inc CurrentSince Dec 8, 2024 Accepting new patients
Topact Care LLC Physical Therapist CurrentSince Jul 2, 2023 Accepting new patients
Crew Health PastSince Dec 8, 2024 Accepting new patients

Locations

7157 Narcoossee Rd
Orlando, FL 32822
Phone (321) 718-8008

8601 Commodity Cir
Orlando, FL 32819
Phone (407) 605-2252

Interoperability endpoints

  • Direct secure messaging: geleen.salcedo.1@22364.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22364/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1013031459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 NARCOOSSEE RD UNIT 1001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225533",
            "telephone_number": "913-340-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 NARCOOSSEE RD UNIT 1001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225533",
            "telephone_number": "913-340-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 Commodity Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199003",
            "country_code": "US",
            "telephone_number": "407-605-2252",
            "fax_number": "855-750-3960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "GELEEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11026858",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.