Active NPI
Meredith Alicia Ximines-Mullings
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1972385102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11029087
- Practice address
- 7008 Oakmore LN
Orlando, FL 32818-8808 - Phone
- (202) 749-2050
- NPI assigned
- Oct 23, 2023
- 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 | APRN11029087 | FL | Primary |
Addresses
Primary practice location
7008 Oakmore LN
Orlando, FL 32818-8808
Mailing address
7008 Oakmore LN
Orlando, FL 32818-8808
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617001794 | FL | Practitioner - Nurse Practitioner | 0648713875 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 N 3Rd St
Leesburg, FL 34748-5105
Phone (352) 315-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11029087 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestream Behavioral Center Inc | Current | Accepting new patients | |
| Lifestream Behavioral Center Inc | Current | Accepting new patients | |
| Advanced Psychiatric Group, PA | Current | Accepting new patients | |
| Thrivewell Psychiatric Group PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900
1554 Boren Dr
Ste 100
Ocoee, FL 34761
Phone (407) 614-2715
736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149
Organizations & group practices 4
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.
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- Psychiatric/Mental Health Nurse Practitioner
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- NPI 1255253571
Psychiatric/Mental Health
-
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1659613776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1972385102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 OAKMORE LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328188808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 OAKMORE LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328188808",
"telephone_number": "202-749-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIMINES-MULLINGS",
"first_name": "MEREDITH",
"middle_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11029087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.