Lori M Brodie, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11026560 Issued in FL

Practice address

463185 State Road 200
Yulee, FL 32097-5555

Phone

(904) 225-8280

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Vijapura Behavioral Health PLLC

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1376904557
  Medicare reassignment
• Nassau County Mental Health Alcohol & Drug Abuse Council Inc

  dba Starting Point Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina Beach, FL
  • NPI 1669196382
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1689351272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463185 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975555",
            "telephone_number": "904-225-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463185 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975555",
            "telephone_number": "904-225-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11026560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breakthroughs of North Florida LLC (Breakthroughs of North Florida)
• Breathe Easy LLC
• Carissa Lynn Brede, LMHC
• Bring Your Brokenness Inc (The Charis House)
• Mark Nicholas Brinkman, D.O.
• Burgundy Brown
• Larry Brown, LMT
• Lisa Marie Brown
• Mary Sue Brown, ARNP
• Sydney Browning

• Psychiatric/Mental Health Nurse Practitioner in Yulee, FL
• Providers in Yulee, 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 Jul 5, 2023; 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.