Individual provider Active NPI

Juliet Walters Bissett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1730230970
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200950038 Issued in OR
Practice address
1200 W Platt St Ste 204
Tampa, FL 33606-2136
Phone
(503) 427-8697
Fax
(855) 427-8698
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200950038 OR Primary

Addresses

Primary practice location

1200 W Platt St Ste 204
Tampa, FL 33606-2136

Mailing address

576 Marmora Ave
Tampa, FL 33606-3824
Phone (503) 427-8697

Other practice location 1

470 2nd St Ste H
Lake Oswego, OR 97034-3199
Phone (503) 427-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200950038ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juliet W Bissett, Pmhnp Psychiatric/Mental Health CurrentSince Aug 7, 2022 Accepting new patients

Locations

316 S Macdill Ave
Tampa, FL 33609

1200 W Platt St
Ste 204
Tampa, FL 33606
Phone (501) 538-3837

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1730230970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 MARMORA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063824",
            "telephone_number": "503-427-8697",
            "fax_number": "855-427-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W PLATT ST STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062136",
            "telephone_number": "503-427-8697",
            "fax_number": "855-427-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 2nd St Ste H",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970343199",
            "country_code": "US",
            "telephone_number": "503-427-8687",
            "fax_number": "855-427-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSETT",
        "first_name": "JULIET",
        "middle_name": "WALTERS",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200950038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.