Individual provider Active NPI

Christiane Previlma

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1346773900
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11044295 Issued in FL
Practice address
5700 Lake Worth Rd Ste 201
Greenacres, FL 33463-4727
Phone
(561) 510-6321
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN9499155 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11044295 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd Ste 201
Greenacres, FL 33463-4727

Mailing address

5700 Lake Worth Rd Ste 201
Greenacres, FL 33463-4727
Phone (561) 545-1019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626004761 FL Practitioner - Nurse Practitioner 9931672201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1377 SW Gatlin Blvd
Port St Lucie, FL 34953-4102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9499155FLMDGeneral Practice Registered Nurse
11044295FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Mental Health Services Psychiatric/Mental Health CurrentSince Jun 8, 2026 Accepting new patients
Family First Community Outreach Services Assistant Behavior Analyst CurrentSince Feb 2, 2020 Accepting new patients
Gateway Case Management Services PastSince Feb 2, 2020 Accepting new patients

Locations

14611 Southern Blvd
Unit 412
Loxahatchee, FL 33470

1377 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (561) 545-1019

Organizations & group practices 3

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1346773900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-545-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-510-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVILMA",
        "first_name": "CHRISTIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9499155",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11044295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.