Individual provider Active NPI

Eden Barbara Belgarde

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1851042006
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11026630 Issued in FL
Practice address
4601 N County Road 19a
Mount Dora, FL 32757-2039
Phone
(352) 602-7924
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
I20250304002320 FL Practitioner - Nurse Practitioner 2567983745 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026630FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aimergency Connectcare, LLC CurrentSince Aug 15, 2025 Accepting new patients
Alina Health Medical Center Corp. CurrentSince Jan 22, 2025 Accepting new patients
Alina Health Medical Center Corp. CurrentSince Jan 22, 2025 Accepting new patients
Aimergency Connect Psychcare CurrentSince Aug 15, 2025 Accepting new patients
Alina Community Center at Mount Dora LLC Past Accepting new patients
Alina Community Center at Mount Dora LLC Past Accepting new patients

Locations

2090 Palm Beach Lakes Blvd
Ste 300
West Palm Beach, FL 33409
Phone (561) 231-0536

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11026630 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4601 N County Road 19a
Mount Dora, FL 32757-2039

Mailing address

4601 N County Road 19a
Mount Dora, FL 32757-2039
Phone (352) 602-7924

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2024.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1851042006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N COUNTY ROAD 19A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572039",
            "telephone_number": "352-602-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N COUNTY ROAD 19A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572039",
            "telephone_number": "352-602-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGARDE",
        "first_name": "EDEN",
        "middle_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11026630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.