Individual provider Active NPI

Edlyne Joseph, ARNP, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1225441348
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9278398 Issued in FL
Practice address
14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207
Phone
(954) 480-3072
Fax
(806) 363-5131
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9278398 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9278398 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9278398 FL Primary

Addresses

Primary practice location

14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207

Mailing address

4846 N University Dr Ste 612
Lauderhill, FL 33351-4510
Phone (954) 480-3072

Other practice location 1

1225 NW 10th Ave
Gainesville, FL 32601-4154
Phone (954) 480-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9278398FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart 623 Heart Family Current Accepting new patients

Locations

1225 NW 10th Ave
Gainesville, FL 32601
Phone (352) 246-3693

4846 N University Dr
Lauderhill, FL 33351
Phone (954) 471-7345

14201 W Sunrise Blvd
Ste 208
Sunrise, FL 33323
Phone (754) 581-2064

Organizations & group practices 1

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1225441348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 N UNIVERSITY DR STE 612",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514510",
            "telephone_number": "954-480-3072",
            "fax_number": "806-363-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-480-3072",
            "fax_number": "806-363-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326014154",
            "country_code": "US",
            "telephone_number": "954-480-3072",
            "fax_number": "806-363-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "EDLYNE",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9278398",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9278398",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9278398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.