Individual provider Active NPI

Meredith Alicia Ximines-Mullings

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972385102
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029087 Issued in FL
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

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Lifestream Behavioral Center IncGroup PAC ID 7012992720, 18 clinicians

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

LicenseStateTypeSpecialty
APRN11029087FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Behavioral Center Inc CurrentSince May 6, 2024 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince May 6, 2024 Accepting new patients
Advanced Psychiatric Group, PA CurrentSince May 28, 2025 Accepting new patients
Thrivewell Psychiatric Group PLLC Psychiatric/Mental Health PastSince Oct 29, 2023 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.

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

Verify at the official NPI Registry.