Active NPI
Erica Waddell, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1891622585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11047249
- Practice address
- U.S Department of Veterans Affairs Mental Health Clinic
5465 SW 34TH St.
Gainesville, FL 32608 - Phone
- (352) 384-3560
- NPI assigned
- May 6, 2026
- Last updated
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11047249 | FL | Primary |
Addresses
Primary practice location
U.S Department of Veterans Affairs Mental Health Clinic
5465 SW 34TH St.
Gainesville, FL 32608
Mailing address
1107 Orchard Oriole PL
Middleburg, FL 32068-8782
Phone (904) 463-7997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11047249 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1891622585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 ORCHARD ORIOLE PL",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688782",
"telephone_number": "904-463-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U.S DEPARTMENT OF VETERANS AFFAIRS MENTAL HEALTH CLINIC",
"address_2": "5465 SW 34TH ST.",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32608",
"telephone_number": "352-384-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "ERICA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11047249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.