Individual provider Active NPI

Kelli D Lewis-Foltin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1427287929
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9165813 Issued in FL
Practice address
2579 Partridge Dr
Winter Haven, FL 33884-3033
Phone
(863) 968-3640
Fax
(863) 310-2021
NPI assigned
Jul 7, 2009
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9165813 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X APRN9165813 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9165813 FL Primary

Addresses

Primary practice location

2579 Partridge Dr
Winter Haven, FL 33884-3033

Mailing address

2579 Partridge Dr
Winter Haven, FL 33884-3033
Phone (863) 968-3640

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
I20100810000451 FL Practitioner - Nurse Practitioner 3779617980 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9165813FLMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 27, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Apr 5, 2021 Accepting new patients
Chappel Group, LLC CurrentSince Feb 9, 2015 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

1415 W Oak St
Unit 421407
Kissimmee, FL 34742
Phone (321) 337-0700

321 W Oak St
Kissimmee, FL 34741
Phone (321) 594-5801

3110 Oakbridge Blvd E
Lakeland, FL 33803
Phone (863) 619-2102

930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: fbh.kellilewisfoltin@141363.advancedmd-direct.com
  • Direct secure messaging: kelli.lewis.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 4

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1427287929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 PARTRIDGE DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843033",
            "telephone_number": "863-968-3640",
            "fax_number": "863-310-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 PARTRIDGE DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843033",
            "telephone_number": "863-968-3640",
            "fax_number": "863-310-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-FOLTIN",
        "first_name": "KELLI",
        "middle_name": "D",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9165813",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9165813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9165813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.