Individual provider Active NPI

Sophia Taffe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1649058462
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11041338 Issued in FL
Practice address
14433 SW Ellison Dr
Port St Lucie, FL 34987-5862
Phone
(954) 740-4898
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 11041338 FL Primary

Addresses

Primary practice location

14433 SW Ellison Dr
Port St Lucie, FL 34987-5862

Mailing address

14433 SW Ellison Dr
Port St Lucie, FL 34987-5862
Phone (954) 740-4898

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
I20260130000804 FL Practitioner - Nurse Practitioner 8820576937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nxpath Psychiatry LLCGroup PAC ID 0345692364, 13 clinicians

Practice addresses (Care Compare)

11207 Cocoa Beach Dr
Riverview, FL 33569-2949
Phone (407) 900-1405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041338FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nxpath Psychiatry LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

11355 131st St
Largo, FL 33774
Phone (813) 325-7479

Organizations & group practices 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1649058462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 SW ELLISON DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875862",
            "telephone_number": "954-740-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 SW ELLISON DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875862",
            "telephone_number": "954-740-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFE",
        "first_name": "SOPHIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11041338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.