Active NPI
Prime Psychiatry and Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Pace, FL
National Provider Identifier
1174407696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PRIME PSYCHIATRY AND WELLNESS PLLC
- Practice address
- 4519 Woodbine Rd
Pace, FL 32571-8706 - Phone
- (850) 806-1668
- Fax
- (850) 806-1668
- NPI assigned
- Aug 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kylee Jenise Dalton, AUTONOMOUS APRN
- Title
- Pmhnp-BC
- Phone
- (850) 377-2769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4519 Woodbine Rd
Pace, FL 32571-8706
Mailing address
5958 Cherry Hill Cir
Pace, FL 32571-9211
Phone (850) 377-2769
Other names 1
- Prime Psychiatry and Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1174407696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5958 CHERRY HILL CIR",
"city": "PACE",
"state": "FL",
"postal_code": "325719211",
"telephone_number": "850-377-2769",
"fax_number": "850-202-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 WOODBINE RD",
"city": "PACE",
"state": "FL",
"postal_code": "325718706",
"telephone_number": "850-806-1668",
"fax_number": "850-806-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME PSYCHIATRY AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "KYLEE",
"authorized_official_middle_name": "JENISE",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "850-377-2769",
"authorized_official_credential": "AUTONOMOUS APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Psychiatry and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.