Individual provider Active NPI

Idianise Josue Vildor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1679060206
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9316505 Issued in FL
Practice address
235 N Westmonte Dr Ste 105
Altamonte Springs, FL 32714-3345
Phone
(407) 461-3791
NPI assigned
Apr 19, 2018
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9316505 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9316505 FL Primary

Addresses

Primary practice location

235 N Westmonte Dr Ste 105
Altamonte Springs, FL 32714-3345

Mailing address

775 Cascading Creek LN
Winter Garden, FL 34787-5911
Phone (407) 461-3791

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
I20180605002956 FL Practitioner - Nurse Practitioner 8628333069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

2345 Sand Lake Rd
Suite 200
Orlando, FL 32809-9140
Phone (407) 851-5121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9316505FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 23, 2025 Accepting new patients
Orlando Psychiatric Associates Inc. CurrentSince Sep 8, 2023 Accepting new patients
Innerbalance Online PLLC Current Accepting new patients
Glycare LLC PastSince Aug 1, 2021 Accepting new patients

Locations

235 N Westmonte Dr
Altamonte Springs, FL 32714
Phone (407) 262-5710

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

1193 Blackwood Ave
Ocoee, FL 34761
Phone (407) 292-2156

2345 Sand Lake Rd
Ste 200
Orlando, FL 32809
Phone (407) 329-6599

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1679060206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 CASCADING CREEK LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875911",
            "telephone_number": "407-461-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR STE 105",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345",
            "telephone_number": "407-461-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILDOR",
        "first_name": "IDIANISE",
        "middle_name": "JOSUE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9316505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9316505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.