Individual provider Active NPI

Louisana Louis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1588321665
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11016727 Issued in FL
Practice address
1418 Bloomingdale Ave
Valrico, FL 33596-6110
Phone
(813) 252-0171
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 11016727 FL Primary

Addresses

Primary practice location

1418 Bloomingdale Ave
Valrico, FL 33596-6110

Mailing address

11334 Village Brook Dr
Riverview, FL 33579-7190
Phone (813) 967-7075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, AZ, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220516001163 FL Practitioner - Nurse Practitioner 5991198947 Reassigns benefits to 3 organizations
I20250625004206 WA Practitioner - Nurse Practitioner 5991198947 Reassigns benefits to 3 organizations
I20250827005196 AZ Practitioner - Nurse Practitioner 5991198947 Reassigns benefits to 1 organization
I20251030004429 NM Practitioner - Nurse Practitioner 5991198947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestige Health and Wellness LLCGroup PAC ID 5395122279, 3 clinicians

Practice addresses (Care Compare)

1418 Bloomingdale Ave
Valrico, FL 33596-6110
Phone (813) 252-0171

1780 Barnes Blvd SW
Tumwater, WA 98512-0410
Phone (972) 449-0540

2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (972) 449-0540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016727FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Health & Wellness, LLC CurrentSince Jan 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 13, 2025 Accepting new patients
Supportive Therapy Empowering People, PLLC CurrentSince May 1, 2025 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Aug 18, 2025 Accepting new patients
Access Telecare, PLLC CurrentSince Jun 13, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

220 W Brandon Blvd
Ste 203
Brandon, FL 33511
Phone (813) 382-3377

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1661 Williamsburg Sq
Ste 101
Lakeland, FL 33803
Phone (813) 252-0171

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

10013 Water Works Ln
Riverview, FL 33578
Phone (813) 252-0171

1418 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 252-0171

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

7356 15th Ave NW
Seattle, WA 98117

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

1780 Barnes Blvd SW
Tumwater, WA 98512
Phone (212) 993-7809

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24851/brand/1/csg/1/fhir/r4
  • Direct secure messaging: louisana.louis.1@24851.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Anthonys HospitalSaint Petersburg, FL, CCN 100067 Hospital Corporate Director Feb 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1588321665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11334 VILLAGE BROOK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797190",
            "telephone_number": "813-967-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966110",
            "telephone_number": "813-252-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "LOUISANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11016727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.