Ibha Sedenu, DNP/APRN/FNP/PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9281432 Issued in FL

Practice address

331 N Maitland Ave Ste C3
Maitland, FL 32751-4754

Phone

(407) 214-5127

Fax

(920) 696-8797

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• NMBH Rehab LLC

  • Physical Therapist
  • Maitland, FL
  • NPI 1407557762

  Single Specialty

  Medicare reassignment NPD
• Nu Mind Body Health LLC

  • Clinic/Center
  • Maitland, FL
  • NPI 1437763208
  NPD
• Rooted in Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
  • NPI 1609675479

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1467701177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD STE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325801",
            "telephone_number": "951-468-6463",
            "fax_number": "920-696-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE C3",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514754",
            "telephone_number": "407-214-5127",
            "fax_number": "920-696-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5956 Turkey Lake Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194218",
            "country_code": "US",
            "telephone_number": "407-830-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDENU",
        "first_name": "IBHA",
        "name_prefix": "Dr.",
        "credential": "DNP/APRN/FNP/PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9281432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01125253",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Denise Scott, PMHNP
• Tanya Scuccimarra, LMHC
• Sarah Sealey, MSN, APRN, NP-C
• Erin Elena Sears
• Ehimen Sedenu
• Sellers Therapy LLC
• Senior Living Properties III, LLC
• Senior Living Properties VI, LLC
• Senior Living Properties VI, LLC
• Senior Living Properties VI, LLC

• Psychiatric/Mental Health Nurse Practitioner in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.