Individual provider Active NPI

Nicole Valette Beach

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1205679883
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032877 Issued in FL
Practice address
3206 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 803-2999
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032877 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 41081 TN

Addresses

Primary practice location

3206 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

9633 Norchester Cir
Tampa, FL 33647-1849
Phone (813) 417-4773

Other practice location 1

1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229

Other practice location 2

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone (629) 206-6858 ext. 13381

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240816001018 FL Practitioner - Nurse Practitioner 5698213098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onpoint Behavioral HealthGroup PAC ID 3577966753, 10 clinicians

Practice addresses (Care Compare)

6943 E Fowler Ave
Temple Terrace, FL 33617-1714
Phone (813) 803-2999

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
41081TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Behavioral Health CurrentSince Aug 1, 2024 Accepting new patients
Diana Health FL P.a. Psychiatric/Mental Health CurrentSince Mar 31, 2026 Accepting new patients
Absolute OBGYN LLC PastSince Mar 31, 2026 Accepting new patients

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

1540 International Pkwy
Ste 2000
Lake Mary, FL 32746
Phone (407) 287-9179

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

3206 Cove Bend Dr
Tampa, FL 33613
Phone (813) 400-0375

6943 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 803-2999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1205679883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 NORCHESTER CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471849",
            "telephone_number": "813-417-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-803-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Mar Walt Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476645",
            "country_code": "US",
            "telephone_number": "850-243-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "629-206-6858 x13381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "NICOLE",
        "middle_name": "VALETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032877",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "41081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.