Individual provider Active NPI

Julie Avescat, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1063044584
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039761 Issued in FL
Practice address
2020 Tally Rd
Leesburg, FL 34748-3426
Phone
(352) 315-7800
NPI assigned
Feb 12, 2020
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9496129 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039761 FL Primary

Addresses

Primary practice location

2020 Tally Rd
Leesburg, FL 34748-3426

Mailing address

6719 Coral Berry Dr
Mount Dora, FL 32757-7457
Phone (863) 529-2118

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
I20250812003478 FL Practitioner - Nurse Practitioner 2567975949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifestream Behavioral Center IncGroup PAC ID 7012992720, 18 clinicians

Practice addresses (Care Compare)

1554 Boren Dr
Suite 100
Ocoee, FL 34761-2986
Phone (407) 614-2715

201 E Magnolia Ave
Eustis, FL 32726-3583
Phone (352) 357-1550

2018 Tally Rd
Leesburg, FL 34748-3426
Phone (352) 315-7400

2020 Tally Rd
Leesburg, FL 34748-3426
Phone (352) 315-7800

2120 N Don Wickham Dr
Clermont, FL 34711-1922
Phone (352) 315-7501

215 N 3Rd St
Leesburg, FL 34748-5105
Phone (352) 315-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9496129FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Behavioral Center Inc CurrentSince Jul 14, 2025 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Jun 29, 2025 Accepting new patients

Locations

2020 Tally Rd
Leesburg, FL 34748
Phone (352) 315-7800

215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900

1554 Boren Dr
Ste 100
Ocoee, FL 34761
Phone (407) 614-2715

Organizations & group practices 2

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1063044584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 CORAL BERRY DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577457",
            "telephone_number": "863-529-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TALLY RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483426",
            "telephone_number": "352-315-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVESCAT",
        "first_name": "JULIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9496129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.