Liandra Waisome, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404430 Issued in NY

Practice address

1 Penn PLZ
Suite 725
New York, NY 10119-0002

Phone

(917) 364-0995

NPI assigned

Apr 16, 2013

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Jewish Home Lifecare, ManhattanGroup PAC ID 1153231212, 11 clinicians

A Friendly Face Akademy Corp.Group PAC ID 3779927553, 8 clinicians

Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Jewish Home Lifecare, Manhattan

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1639244742

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Sehwan Medical Care PLLC

  • Psychiatry Physician
  • Yonkers, NY
  • NPI 1598537250
  Medicare reassignment Care Compare group NPD
• A Friendly Face Akademy Corp.

  • Clinic/Center
  • Staten Island, NY
  • NPI 1275025348
  Medicare reassignment Care Compare group
• Liandra Waisome Nurse Practitioner in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1700741634
  Medicare reassignment NPD
• Mobile Adult Nurse Practitioner Services PLLC

  • Adult Health Nurse Practitioner
  • Yonkers, NY
  • NPI 1285277079
  NPD Authorized official
• Jewish Home Lifecare, Manhattan

  dba Jewish Home Lifecare, Manhattan (Pharmacy)

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1356434781
  NPD
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1023451390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ",
            "address_2": "SUITE 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ",
            "address_2": "SUITE 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190002",
            "telephone_number": "917-364-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISOME",
        "first_name": "LIANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "306370",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "340897",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Waintraub
• Lauren Wainwright, MSOT
• Zoe Wais
• Waise Ebrahimi DDS PC (Smile Lab)
• Agostina Waisfeld
• David B Wait, MD
• Lindsey Anne Wait
• Carolyn Marie Waite, PHYSICIAN ASSISTANT
• Eva A Waite, MD
• Jessica Jasmine Waite, RD

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.