Individual provider Active NPI

Tyeshia Danielle Battles, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midway, FL
National Provider Identifier
1619638863
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11037278 Issued in FL
Practice address
147 Francis Harrell Way
Midway, FL 32343
Phone
(850) 320-3010
NPI assigned
Jan 9, 2022
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 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 APRN11037278 FL Primary
Registered Nurse 163W00000X RN9484969 FL

Addresses

Primary practice location

147 Francis Harrell Way
Midway, FL 32343

Mailing address

147 Francis Harrell Way
Midway, FL 32343-2201
Phone (850) 320-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260410000052 TX Practitioner - Nurse Practitioner 7012302441 Reassigns benefits to 1 organization
I20260526003787 FL Practitioner - Nurse Practitioner 7012302441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1061 Medical Ctr Dr
Suite 102
Orange City, FL 32763

1120 Raintree Cir
Suite 280
Allen, TX 75013-5254

207 Granby Park
Norfolk, VA 23505-4119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9484969FLMDRegistered Nurse
APRN11037278FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noire Nurse Healthcare CurrentSince Dec 17, 2021 Accepting new patients
Synergistic Psychiatry Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tyeshia.battles.1@23211.direct.athenahealth.com

Organizations & group practices 4

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": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1619638863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 FRANCIS HARRELL WAY",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323432201",
            "telephone_number": "850-320-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 FRANCIS HARRELL WAY",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "32343",
            "telephone_number": "850-320-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLES",
        "first_name": "TYESHIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11037278",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9484969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, FL

Sources for this page

Verify at the official NPI Registry.