Individual provider Active NPI

Terri Ann Saunders, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1447724711
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11000566 Issued in FL
Practice address
2140 N Don Wickham Dr
Clermont, FL 34711-1922
Phone
(352) 394-5922
Fax
(352) 394-1103
NPI assigned
Jan 19, 2019
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000566 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11000566 FL Primary

Addresses

Primary practice location

2140 N Don Wickham Dr
Clermont, FL 34711-1922

Mailing address

16125 Wind View LN
Winter Garden, FL 34787-9229
Phone (321) 368-6154

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
I20220201002637 FL Practitioner - Nurse Practitioner 7517350234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifestream Behavioral Center IncGroup PAC ID 7012992720, 18 clinicians

Practice addresses (Care Compare)

2140 N Don Wickham Dr
Clermont, FL 34711-1962
Phone (352) 394-5922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000566FLMDFamily Nurse Practitioner
APRN11000566FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Behavioral Center Inc CurrentSince Jan 11, 2022 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Jan 11, 2022 Accepting new patients

Locations

2140 N Don Wickham Dr
Clermont, FL 34711
Phone (352) 394-5322

215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900

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, 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": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1447724711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 WIND VIEW LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879229",
            "telephone_number": "321-368-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111922",
            "telephone_number": "352-394-5922",
            "fax_number": "352-394-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "TERRI ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000566",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11000566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.