Organization Active NPI

Blue Water the Island's Family Mental Health Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Key West, FL
National Provider Identifier
1790597201
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLUE WATER THE ISLAND'S FAMILY MENTAL HEALTH CENTER LLC
Practice address
300 Southard St Ste 102
Key West, FL 33040-8401
Phone
(786) 982-0459
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Erin SheehanNPI 1851644629
Title
Manager
Phone
(504) 352-4896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

300 Southard St Ste 102
Key West, FL 33040-8401

Mailing address

302 Fleming St
Key West, FL 33040-8393
Phone (786) 982-0459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502001527 FL Part B Supplier - Clinic/Group Practice 4385160373 Receives reassigned benefits from 1 practitioner
Practice locations: Key West, FL

National Provider Directory

National Provider Directory

Locations

300 Southard St
Ste 102
Key West, FL 33040
Phone (305) 745-8215

302 Fleming St
Key West, FL 33040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1790597201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FLEMING ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408393",
            "telephone_number": "786-982-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTHARD ST STE 102",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408401",
            "telephone_number": "786-982-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER THE ISLAND'S FAMILY MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-352-4896"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.