Organization Active NPI

Still Waters Psychiatric Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dade City, FL
National Provider Identifier
1255222097
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
STILL WATERS PSYCHIATRIC MENTAL HEALTH, LLC
Practice address
35010 Prospect Rd
Dade City, FL 33525-8210
Phone
(352) 534-6970
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Alexandra Reid, PMHNPNPI 1942098785
Title
Servant Leader of Peace
Phone
(813) 334-8635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

35010 Prospect Rd
Dade City, FL 33525-8210

Mailing address

35010 Prospect Rd
Dade City, FL 33525-8210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1255222097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 PROSPECT RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 PROSPECT RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258210",
            "telephone_number": "352-534-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS PSYCHIATRIC MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SERVANT LEADER OF PEACE",
        "authorized_official_telephone_number": "813-334-8635",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.