Win Life Psychiatric Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WIN LIFE PSYCHIATRIC CARE

Practice address

150 E Bloomingdale Ave Ste 126
Brandon, FL 33511-8176

Phone

(832) 629-1970

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Nicholas, APRN, PMHNPNPI 1164984043

Title

Owner

Phone

(832) 629-1970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Melissa Michelle Nicholas

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1164984043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1942993787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E BLOOMINGDALE AVE STE 126",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E BLOOMINGDALE AVE STE 126",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118176",
            "telephone_number": "832-629-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN LIFE PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-629-1970",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Wilson, O.D.
• Matthew Ben Wilson, D.C.
• Nolan Lee Wilson, OD
• Steven A. Wilson, D.C.
• Tahesha Rene Wilson
• Justin Winas Jr., DO
• Brittany Wingo, MS CCC SLP
• Darrell Winkle
• Ruth Ann Winkler, O.D.
• Erica Michele Winters

• Psychiatric/Mental Health Nurse Practitioner in Brandon, FL
• Providers in Brandon, 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 May 29, 2023; 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.