Sophia Fouche

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11018712 Issued in FL

Practice address

717 E Oak St
Kissimmee, FL 34744-4580

Phone

(407) 846-0533

Fax

(407) 518-1730

NPI assigned

Aug 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Behavioral Healthcare LLCGroup PAC ID 7810162740, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sophia.fouche@087.emedpractice.direct-ci.com
• Direct secure messaging: sophia.fouche.1@22714.direct.athenahealth.com

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.

• Mindful Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1477744548
  Medicare reassignment Care Compare group NPD
• Still Waters Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longwood, FL
  • NPI 1740944719
  Medicare reassignment NPD
• Mindful Integrated Medicine LLC

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1831544832
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1144994682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 RAMBLING OAKS WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462247",
            "telephone_number": "321-465-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533",
            "fax_number": "407-518-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444573",
            "country_code": "US",
            "telephone_number": "407-846-0533",
            "fax_number": "407-518-1730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 Moss Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "407-846-0533",
            "fax_number": "407-518-1730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Ronald Reagan Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504162",
            "country_code": "US",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUCHE",
        "first_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Ellen Austin Forth, PA-C
• Alexis Fortin
• Karen Fortuna, RN
• Nina Marie Fortuno Colon, MS-SLP-CFY
• Eluanelis Yanille Forty-Sanchez
• Heather J Foulke, CNM
• Shannon Grace Fournier, LPN
• Crystal Fox, COTA
• Jada Lynne Fox, MA
• Gina Fragomeli

• Psychiatric/Mental Health Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.