Individual provider Active NPI

Julie J Peterson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1801357066
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11001174 Issued in FL
Practice address
2600 S Florida Ave
Lakeland, FL 33803-3809
Phone
(863) 732-7200
Fax
(863) 732-7201
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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 APRN11001174 FL Primary
Family Nurse Practitioner 363LF0000X APRN11001174 FL

Addresses

Primary practice location

2600 S Florida Ave
Lakeland, FL 33803-3809

Mailing address

2600 S Florida Ave
Lakeland, FL 33803-3809

Other practice location 1

1831 Gilmore Ave
Lakeland, FL 33805-3017
Phone (863) 519-0575 ext. 6494

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191007000016 FL Practitioner - Nurse Practitioner 6608107628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1602 Oakfield Dr
Suite 205
Brandon, FL 33511-0827
Phone (813) 655-6367

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as group
Quality
62.05
Promoting interoperability
100
Improvement activities
20
Cost
75.79

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11001174FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Center for Personal Development Inc CurrentSince Feb 6, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Dec 7, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Dec 7, 2023 Accepting new patients
Comprehensive Psychiatric Associates LLC Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
Peace River Center for Personal Development Inc PastSince Apr 17, 2022 Accepting new patients

Locations

1255 Golfview Ave
Bartow, FL 33830
Phone 8635190575 ext. 6494

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

225 E Lemon St
Ste 105
Lakeland, FL 33801
Phone (863) 732-7200

1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

1831 Gilmore Ave
Lakeland, FL 33805
Phone 8635190575 ext. 6494

2600 S Florida Ave
Lakeland, FL 33803
Phone (863) 732-7200

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: julie.peterson.1@13142.direct.athenahealth.com
  • Direct secure messaging: julie.peterson.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 6

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1801357066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033809",
            "telephone_number": "863-732-7200",
            "fax_number": "863-732-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Gilmore Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053017",
            "country_code": "US",
            "telephone_number": "863-519-0575 x6494",
            "fax_number": "863-582-9251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JULIE",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001174",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.