Leah Nicole Medina, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9450474 Issued in FL

Practice address

7369 Sheridan St Ste 203
Hollywood, FL 33024-2776

Phone

(954) 369-4111

Fax

(954) 350-0909

NPI assigned

May 18, 2017

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advanced Psychiatric Services Professional Association

  • Psychiatry Physician
  • Hollywood, FL
  • NPI 1710603550

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1871020073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242776",
            "telephone_number": "954-369-4111",
            "fax_number": "954-350-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242776",
            "telephone_number": "954-369-4111",
            "fax_number": "954-350-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8270 Woodland Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142401",
            "country_code": "US",
            "telephone_number": "656-233-0010",
            "fax_number": "656-233-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2054 Vista Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334116742",
            "country_code": "US",
            "telephone_number": "561-216-0006",
            "fax_number": "954-350-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 Blue Lagoon Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331266040",
            "country_code": "US",
            "telephone_number": "786-809-3606",
            "fax_number": "786-809-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 Glades Rd Ste 324A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334318571",
            "country_code": "US",
            "telephone_number": "561-510-9190",
            "fax_number": "954-350-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11555 Heron Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763362",
            "country_code": "US",
            "telephone_number": "954-338-4303",
            "fax_number": "954-350-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LEAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9450474",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9450474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Services Corp of Florida
• Medical Visits at Home, Inc
• Medicfp, LLC
• Medichiro PA
• Medicus Medici PLLC
• Paige Jordan Medley, APRN
• Medoquip Corp.
• Medstar Trans, LLC
• Caren Megidish, LMT
• Ashwin Mehta, MD

• Psychiatric/Mental Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.