Individual provider Active NPI

Jacob Read, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1245696392
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60650859 Issued in WA
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

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP60650859WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thaip Medical/Complexity Care LLC CurrentSince Nov 1, 2023 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.

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.

Verify at the official NPI Registry.