Active NPI
Wellevate Mental Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1407736762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WELLEVATE MENTAL HEALTH PLLC
- Practice address
- 336 NE 4TH St
Cape Coral, FL 33909-0500 - Phone
- (469) 638-3162
- NPI assigned
- Sep 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Alexander
- Title
- Owner
- Phone
- (469) 638-3162
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
336 NE 4TH St
Cape Coral, FL 33909-0500
Mailing address
336 NE 4TH St
Cape Coral, FL 33909-0500
Phone (469) 638-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1487390779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1407736762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 NE 4TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339090500",
"telephone_number": "469-638-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 NE 4TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339090500",
"telephone_number": "469-638-3162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLEVATE MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-638-3162"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.