Individual provider Active NPI

Adriana Wagner, PMHNP-BC, APRN

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1144535808
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NP11038978 Issued in FL
Practice address
2340 Commerce Point Dr
Lakeland, FL 33801-6880
Phone
(863) 709-8543
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 4364 FL
Psychiatry Physician 2084P0800X NP11038978 FL Primary
Mental Health Counselor 101YM0800X MH10983 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MH10983 FL

Addresses

Primary practice location

2340 Commerce Point Dr
Lakeland, FL 33801-6880

Mailing address

2707 Pankaw LN
Valrico, FL 33596-6515
Phone (813) 598-8482

Other practice location 1

26601 Airport Rd
Punta Gorda, FL 33982-2408
Phone (941) 833-6300

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XMedicaidFL

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

State licenses

LicenseStateTypeSpecialty
CAP 4364FLMDAddiction (Substance Use Disorder) Counselor
MH10983FLMDAddiction (Substance Use Disorder) Counselor
NP11038978FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Human Services, Inc. PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1144535808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 PANKAW LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966515",
            "telephone_number": "813-598-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 COMMERCE POINT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016880",
            "telephone_number": "863-709-8543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26601 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339822408",
            "country_code": "US",
            "telephone_number": "941-833-6300",
            "fax_number": "941-833-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ADRIANA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 4364",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "NP11038978",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10983",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH10983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.