Individual provider Active NPI

Kwabena Senior, PMHNP-BC, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1215867239
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11043571 Issued in FL
Practice address
1581 Old Dixie Hwy
Vero Beach, FL 32960-3654
Phone
(772) 584-3067
Fax
(877) 300-2402
NPI assigned
May 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 11043571 FL Primary

Addresses

Primary practice location

1581 Old Dixie Hwy
Vero Beach, FL 32960-3654

Mailing address

288 SE Todd Ave
Port Saint Lucie, FL 34983-3137
Phone (772) 584-3067

Other practice location 1

6609 N US Highway 1
Fort Pierce, FL 34946-7409
Phone (772) 584-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11043571FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1215867239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 SE TODD AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833137",
            "telephone_number": "772-584-3067",
            "fax_number": "877-300-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 OLD DIXIE HWY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603654",
            "telephone_number": "772-584-3067",
            "fax_number": "877-300-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6609 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349467409",
            "country_code": "US",
            "telephone_number": "772-584-3067",
            "fax_number": "877-300-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENIOR",
        "first_name": "KWABENA",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11043571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.