Individual provider Active NPI

Vanessa Nank

  • School Psychologist
  • Fort Myers, FL
National Provider Identifier
1255001665
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1548 Issued in FL
Practice address
15050 Elderberry LN
Fort Myers, FL 33907-8504
Phone
(239) 610-1552
NPI assigned
Sep 16, 2021
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1548 FL Primary

Addresses

Primary practice location

15050 Elderberry LN
Fort Myers, FL 33907-8504

Mailing address

15050 Elderberry LN
Fort Myers, FL 33907-8504
Phone (239) 610-1552

Other identifiers 1

IdentifierTypeStateIssuer
SS1548OtherFLSTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
SS1548FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Present Mind LLC Current Accepting new patients
The Traveling Therapist LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

303 NE 3rd Ave
Ste 78
Cape Coral, FL 33909
Phone (239) 354-7187

15050 Elderberry Ln
Fort Myers, FL 33907
Phone (239) 610-1552

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1255001665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-610-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-610-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANK",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SS1548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.