Organization Active NPI

Florida Psycare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1669137964
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FLORIDA PSYCARE, LLC
Practice address
340 Sapphire Lake Dr Unit 101
Bradenton, FL 34209-3445
Phone
(352) 516-8991
Fax
(954) 206-0526
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Valerie Smith Ismail, APRN
Title
Ceo
Phone
(352) 516-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

340 Sapphire Lake Dr Unit 101
Bradenton, FL 34209-3445

Mailing address

340 Sapphire Lake Dr Unit 101
Bradenton, FL 34209-3445
Phone (352) 516-8991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1669137964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SAPPHIRE LAKE DR UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093445",
            "telephone_number": "352-516-8991",
            "fax_number": "954-206-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SAPPHIRE LAKE DR UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093445",
            "telephone_number": "352-516-8991",
            "fax_number": "954-206-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PSYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-516-8991",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.