NPIMap

Organization Active NPI

Compassionate Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1275074692
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP2827802 Issued in FL
Legal business name
COMPASSIONATE PSYCHIATRIC SERVICES LLC
Practice address
1702 Club Dr
Vero Beach, FL 32963-2258
Phone
(772) 332-2635
NPI assigned
Mar 18, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Lora Beth Hearn, ARNPNPI 1689902827
Title
Owner
Phone
(772) 332-2635

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 ARNP2827802 FL Primary

Addresses

Primary practice location

1702 Club Dr
Vero Beach, FL 32963-2258

Mailing address

2941 Bent Pine Dr
Fort Pierce, FL 34951-2923
Phone (772) 332-2635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170515000314 FL Part B Supplier - Clinic/Group Practice 6608153911 Receives reassigned benefits from 9 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1702 Club Dr
Vero Beach, FL 32963
Phone (772) 222-5001

Practitioners & affiliated clinicians

Practitioners 9

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": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1275074692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 BENT PINE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512923",
            "telephone_number": "772-332-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 CLUB DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632258",
            "telephone_number": "772-332-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-332-2635",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2827802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.