Individual provider Active NPI

Lisenie Mayard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1437734035
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11009601 Issued in FL
Practice address
1015 Berry Leaf CT
Apopka, FL 32703-5936
Phone
(407) 690-0775
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11009601 FL Primary

Addresses

Primary practice location

1015 Berry Leaf CT
Apopka, FL 32703-5936

Mailing address

1015 Berry Leaf CT
Apopka, FL 32703-5936
Phone (407) 690-0775

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
I20210917002616 FL Practitioner - Nurse Practitioner 0648677682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

499 N State Rd
434 Suite 1073
Altamonte Springs, FL 32714-1005
Phone (321) 430-6709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009601FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Health Solutions LLC Psychiatric/Mental Health CurrentSince Oct 2, 2023 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Jul 5, 2021 Accepting new patients

Locations

499 N State Road 434
Ste 1073
Altamonte Springs, FL 32714
Phone (321) 430-6709

100 Columbia St
Orlando, FL 32806
Phone (407) 245-0014

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

Organizations & group practices 2

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1437734035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BERRY LEAF CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035936",
            "telephone_number": "407-690-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BERRY LEAF CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035936",
            "telephone_number": "407-690-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYARD",
        "first_name": "LISENIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.