Evolving Mind Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVOLVING MIND PSYCHIATRY LLC

Practice address

110 W Polk Ave Unit B
Auburndale, FL 33823-3428

Phone

(863) 797-6544

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Jason FloydNPI 1689290272

Title

Owner/Provider

Phone

(845) 551-9673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason W Floyd

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburndale, FL
  • NPI 1689290272
  Medicare reassignment Care Compare group NPD Authorized official
• Minu Elizabeth Bradley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1912718495
  Medicare reassignment Care Compare group NPD
• Kerry-Ann Patria Greenland

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
  • NPI 1386398642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1942929633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4268 STAFFORD DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W POLK AVE UNIT B",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233428",
            "telephone_number": "863-797-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING MIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "845-551-9673"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Auburndale, FL
• Providers in Auburndale, 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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.