Individual provider Active NPI

Lidia Gladney, PMHNP-BC, FNP-C, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1932681517
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9372900 Issued in FL
Practice address
6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593
Phone
(305) 842-4947
Fax
(407) 271-8526
NPI assigned
Aug 30, 2018
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ANRP9372900 FL
Family Nurse Practitioner 363LF0000X ANRP FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9372900 FL Primary
Primary Care Nurse Practitioner 363LP2300X 9372900 FL
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN9372900 FL

Addresses

Primary practice location

6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593

Mailing address

6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593
Phone (305) 433-7147

Other practice location 1

11555 Heron Bay Blvd Ste 200
Coral Springs, FL 33076-3362
Phone (305) 433-7147

Other practice location 2

218 NW 24th St Fl 2-3
Miami, FL 33127-4324
Phone (305) 433-7147

Other practice location 3

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584
Phone (305) 433-7147

Other practice location 4

3564 Avalon Park East Blvd Ste 1
Orlando, FL 32828-7365
Phone (305) 433-7147

Other identifiers 3

IdentifierTypeStateIssuer
866H3OtherFLFLORIDA BLUE ID
19ZXGOtherFLFLORIDA BLUE ID
101170400MedicaidFL

Other names 1

  • Lidia Alvarado Former name

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
I20201210000746 FL Practitioner - Nurse Practitioner 9931511243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ANRP9372900FLMDNurse Practitioner
ANRPFLMDFamily Nurse Practitioner
APRN9372900FLMDPsychiatric/Mental Health Nurse Practitioner
9372900FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Resources of FL LLC PastSince Feb 1, 2020 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 3

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1932681517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "305-433-7147",
            "fax_number": "407-271-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "305-842-4947",
            "fax_number": "407-271-8526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11555 Heron Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763362",
            "country_code": "US",
            "telephone_number": "305-433-7147",
            "fax_number": "407-271-8526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 NW 24th St Fl 2-3",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331274324",
            "country_code": "US",
            "telephone_number": "305-433-7147",
            "fax_number": "407-271-8526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 W Kennedy Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092584",
            "country_code": "US",
            "telephone_number": "305-433-7147",
            "fax_number": "407-271-8526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3564 Avalon Park East Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287365",
            "country_code": "US",
            "telephone_number": "305-433-7147",
            "fax_number": "407-271-8526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "LIDIA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, FNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ANRP9372900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ANRP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9372900",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9372900",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9372900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE ID",
            "identifier": "866H3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE ID",
            "identifier": "19ZXG",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101170400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDIA",
            "last_name": "ALVARADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.