Liandra Waisome Nurse Practitioner in Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC

Practice address

469 Delafield Ave
Staten Island, NY 10310-2012

Phone

(917) 748-5699

NPI assigned

Dec 23, 2025

Organization subpart

No

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

Authorized official

Name

Liandra Waisome Edwards

Title

Managing Member

Phone

(917) 748-5699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liandra Waisome, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1023451390
  Medicare reassignment NPD

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1700741634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 DELAFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 DELAFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102012",
            "telephone_number": "917-748-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "WAISOME EDWARDS",
        "authorized_official_first_name": "LIANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-748-5699"
    },
    "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": []
}

• Mei NA Li, PTA
• Min Wei Li, PHARM.D
• Suzie Li, RN
• Tao Li, RN
• Zhiwei Li, MD
• Elaine Liang
• Feng Frank Liang, L.C.S.W.
• Lin Ying Liang, CBD, CPD
• Peter Liang, MD
• Winnie Liang, RN

• Psychiatric/Mental Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.