Active NPI
Jacob Read, PMHNP-BC, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Casselberry, FL
National Provider Identifier
1245696392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60650859
- Practice address
- 336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370 - Phone
- (865) 213-2834
- Fax
- (835) 213-5169
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02824 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60650859 | WA | Primary |
Addresses
Primary practice location
336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370
Mailing address
336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370
Phone (865) 213-2834
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60650859 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thaip Medical/Complexity Care LLC | Current | Accepting new patients |
Locations
336 Wilshire Blvd
Ste 238120
Casselberry, FL 32707
Phone (865) 213-2834
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casselberry, FL
- NPI 1780458554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1245696392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 WILSHIRE BLVD STE 238-120",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075370",
"telephone_number": "865-213-2834",
"fax_number": "835-213-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 WILSHIRE BLVD STE 238-120",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075370",
"telephone_number": "865-213-2834",
"fax_number": "835-213-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "JACOB",
"credential": "PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02824",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60650859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.