Jason W Floyd

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11007250 Issued in FL

Practice address

110 W Polk Avenue
Unit B
Auburndale, FL 33823-3428

Phone

(863) 797-5449

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evolving Mind Psychiatry LLCGroup PAC ID 6406224740, 3 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

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.

• Evolving Mind Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburndale, FL
  • NPI 1942929633
  Medicare reassignment Care Compare group NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group
• Greenland Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Poinciana, FL
  • NPI 1891676086
  NPD
• Ruby D Counseling Services LLC

  • Mental Health Counselor
  • Auburndale, FL
  • NPI 1265002083
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1689290272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4268 STAFFORD DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801141",
            "telephone_number": "863-797-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W POLK AVENUE",
            "address_2": "UNIT B",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233428",
            "telephone_number": "863-797-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JASON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "4268 Stafford Dr",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338801141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tatheer Fatima
• Frank M Rosa Nursing Service
• Katherine Freeman
• Gearldine Gabbard
• Scott Gaffney, LCSW
• Gaia Clinical Services, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Auburndale, FL
• Providers in Auburndale, 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 Dec 1, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.