Organization Active NPI

Premier Psychiatric and Primary Healthcare

  • Family Nurse Practitioner
  • Groveland, FL
National Provider Identifier
1598557233
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PREMIER PSYCHIATRIC AND PRIMARY HEALTHCARE
Practice address
9305 Oglethorpe Dr
Groveland, FL 34736-7909
Phone
(407) 987-3933
Fax
(407) 987-3933
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Kelly Eileen Jean-Louis, NPNPI 1275086886
Title
Owner
Phone
(407) 987-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

9305 Oglethorpe Dr
Groveland, FL 34736-7909

Mailing address

2582 Maguire Rd Ste 224
Ocoee, FL 34761-4749
Phone (407) 987-3933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1598557233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 MAGUIRE RD STE 224",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614749",
            "telephone_number": "407-987-3933",
            "fax_number": "407-987-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 OGLETHORPE DR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347367909",
            "telephone_number": "407-987-3933",
            "fax_number": "407-987-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHIATRIC AND PRIMARY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "JEAN-LOUIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-987-3933",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.