Individual provider Active NPI

Lydia Estefani Rosario - Linares, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1952015612
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039089 Issued in FL
Practice address
717 E Oak St
Kissimmee, FL 34744-4580
Phone
(407) 846-0533
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039089 FL Primary
Registered Nurse 163W00000X 9442512 FL

Addresses

Primary practice location

717 E Oak St
Kissimmee, FL 34744-4580

Mailing address

4645 Caverns Dr
Kissimmee, FL 34758-2504
Phone (321) 987-4827

Other practice location 1

25 Broadway
Kissimmee, FL 34741-5711
Phone (689) 271-8027

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
I20250728000659 FL Practitioner - Nurse Practitioner 9931616711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Behavioral Healthcare LLCGroup PAC ID 7810162740, 12 clinicians

Practice addresses (Care Compare)

717 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

719 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9442512FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Behavioral Healthcare, LLC CurrentSince May 1, 2025 Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

717 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

719 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

711 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1952015612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 CAVERNS DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582504",
            "telephone_number": "321-987-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415711",
            "country_code": "US",
            "telephone_number": "689-271-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO - LINARES",
        "first_name": "LYDIA",
        "middle_name": "ESTEFANI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039089",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9442512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.