Individual provider Active NPI

Mirline Lamothe, MSN, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1205549573
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11022903 Issued in FL
Practice address
5222 Andrus Ave Ste C
Orlando, FL 32810-5456
Phone
(407) 745-5022
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11022903 FL Primary

Addresses

Primary practice location

5222 Andrus Ave Ste C
Orlando, FL 32810-5456

Mailing address

5222 Andrus Ave Ste C
Orlando, FL 32810-5456
Phone (407) 745-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240903000061 FL Practitioner - Nurse Practitioner 6103365382 Reassigns benefits to 2 organizations
I20260224002522 TX Practitioner - Nurse Practitioner 6103365382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Support Services, Inc CurrentSince Jul 13, 2024 Accepting new patients
Author Health Professionals, PC CurrentSince Jan 13, 2026 Accepting new patients
Bridges Community Support Services, Inc CurrentSince Feb 8, 2023 Accepting new patients

Locations

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

5222 Andrus Ave
Ste C
Orlando, FL 32810
Phone (407) 745-5020

2700 Post Oak Blvd
Ste 2100
Houston, TX 77056

609 Main St
Ste 2500
Houston, TX 77002

Organizations & group practices 3

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1205549573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105456",
            "telephone_number": "407-745-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105456",
            "telephone_number": "407-745-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "MIRLINE",
        "credential": "MSN, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11022903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.