Active NPI
Kevin Gilbert Ordiales, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1114765476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11050338
- Practice address
- 6000 US-98
Pensacola, FL 32512-0001 - Phone
- (850) 505-6601
- NPI assigned
- Jul 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11050338 | FL | Primary |
Addresses
Primary practice location
6000 US-98
Pensacola, FL 32512-0001
Mailing address
6000 US-98
Pensacola, FL 32512-0001
Phone (775) 772-7945
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-3224
Other practice location 2
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (910) 450-4357
Other practice location 3
4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Phone (301) 295-4317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1114765476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 US-98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "775-772-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 US-98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-505-6601"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "571-231-3224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Brewster Blvd",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "285472575",
"country_code": "US",
"telephone_number": "910-450-4357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 Jones Bridge Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208144799",
"country_code": "US",
"telephone_number": "301-295-4317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORDIALES",
"first_name": "KEVIN",
"middle_name": "GILBERT",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-19",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11050338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.