Individual provider Active NPI

Angelique Caroline McLoughlin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1508500398
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11022271 Issued in FL
Practice address
3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone
(407) 906-3755
Fax
(386) 271-2861
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11022271 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN9467528 FL

Addresses

Primary practice location

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026

Mailing address

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone (407) 906-3755

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
I20221103003268 FL Practitioner - Nurse Practitioner 4688041684 Practice locations: Daytona Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone (407) 906-3755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11022271FLMDPsychiatric/Mental Health Nurse Practitioner
RN9467528FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Psychiatry LLC CurrentSince Sep 28, 2025 Accepting new patients
Maka McLoughlin, LLC Psychiatric/Mental Health CurrentSince Nov 18, 2025 Accepting new patients
Refresh Health NP Psychiatric/Mental Health PastSince May 1, 2022 Accepting new patients

Locations

3500 W International Speedway Blvd
Daytona Beach, FL 32124
Phone (407) 906-3755

208 Booth Rd
Ste D
Ormond Beach, FL 32174
Phone (407) 906-3755

Organizations & group practices 3

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1508500398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241026",
            "telephone_number": "407-906-3755",
            "fax_number": "386-271-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241026",
            "telephone_number": "407-906-3755",
            "fax_number": "386-271-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLOUGHLIN",
        "first_name": "ANGELIQUE",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11022271",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9467528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.