Individual provider Active NPI

Kevin Luke Houser

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1720688005
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11029474 Issued in FL
Practice address
832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone
(863) 686-0800
Fax
(863) 686-0805
NPI assigned
Oct 27, 2020
Reactivated
Jun 28, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3015035 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11029474 FL Primary

Addresses

Primary practice location

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202

Mailing address

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone (863) 686-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029474FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis W Cassidy M D P a CurrentSince Jun 30, 2024 Accepting new patients

Locations

832 S Florida Ave
Ste 2
Lakeland, FL 33801
Phone (863) 510-2624

Organizations & group practices 1

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1720688005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800",
            "fax_number": "863-686-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "KEVIN",
        "middle_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "deactivation_date": "2024-06-13",
        "reactivation_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015035",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.