Kshema Puthenkavil Mathew

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11034688 Issued in FL

Practice address

231 W Bay Ave
Longwood, FL 32750-4125

Phone

(407) 554-5804

Fax

(407) 214-3171

NPI assigned

Aug 19, 2024

Last updated

Jul 24, 2025By 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 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, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Shaanand Company, LLCGroup PAC ID 0244698405, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Shaan& Company, LLC

  dba Evolve Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Longwood, FL
  • NPI 1477254761
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1154153195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VICKROY TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655230",
            "telephone_number": "407-924-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W BAY AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504125",
            "telephone_number": "407-554-5804",
            "fax_number": "407-214-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "KSHEMA PUTHENKAVIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11034688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Yvonne Massaro, APRN
• Jasmine Iman Massey
• Antonietta Lucia Mastrota, M.S, CF-SLP
• Maternal Home Childbirth Services, LLC (Maternal Home)
• Lynsey Materni
• Tiffany Mathews
• Linda Marie Matteoli, D.O,
• Terry Hyer Mattingly
• Vincent Mauro
• Ryan May

• Psychiatric/Mental Health Nurse Practitioner in Longwood, FL
• Providers in Longwood, 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 Jul 24, 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.