Ivy Lee, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9488738 Issued in FL

Practice address

7420 Dwell Well Way Apt 1302
Winter Park, FL 32792-8930

Phone

(954) 654-1741

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heritage Wellness, LLC

  dba Heritage Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1962162917

  Single Specialty

  Medicare reassignment NPD
• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996

  Single Specialty

  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  FL, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1679199905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 NW 47TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673407",
            "telephone_number": "954-654-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 DWELL WELL WAY APT 1302",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928930",
            "telephone_number": "954-654-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 Aloma Ave Ste 233",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922541",
            "country_code": "US",
            "telephone_number": "954-654-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "IVY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9488738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elleri Wyatt Leblanc, MSOTR/L
• Erik Lebron, PTA
• Nancy Jo Leclaire, LCSW
• Candance Ledbetter, REGISTERED NURSE
• Ernestine Miller Lee, MD, MPH
• Joseph Jung Hoon Lee, AP DOM
• Michael Wayne Lee II, DMD
• Shawn Joseph Lee, MD
• Evelyn Nicole Leffler-Gutierrez, RBT
• Legacy Sports Physical Therapy LLC

• Psychiatric/Mental Health Nurse Practitioner in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.