Individual provider Active NPI

Sandra L Risoldi, DNP, AAPRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1972745206
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11017154 Issued in FL
Practice address
2706 Alt 19 Ste 201
Palm Harbor, FL 34683-2641
Phone
(727) 223-3424
Fax
(727) 295-1648
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 APRN11017154 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403913 NY

Addresses

Primary practice location

2706 Alt 19 Ste 201
Palm Harbor, FL 34683-2641

Mailing address

2706 Alt 19 Ste 201
Palm Harbor, FL 34683-2641
Phone (727) 223-3424

Other practice location 1

136 Madison Ave Fl
New York, NY 10016-6711
Phone (727) 223-3424

Other identifiers 1

IdentifierTypeStateIssuer
1972745206MedicaidNY

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
I20220120001801 FL Practitioner - Nurse Practitioner 7012309214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Athens St
Suite O
Tarpon Springs, FL 34689-3304
Phone (727) 249-4898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
403913NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Just Psych LLC Psychiatric/Mental Health CurrentSince May 16, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Feb 16, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Feb 16, 2022 Accepting new patients
Ultima Rehab-FL LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

2706 Alt 19
Ste 201
Palm Harbor, FL 34683
Phone (727) 223-3424

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

110 Athens St
Ste O
Tarpon Springs, FL 34689
Phone (727) 249-4898

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1972745206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ALT 19 STE 201",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832641",
            "telephone_number": "727-223-3424",
            "fax_number": "727-295-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 ALT 19 STE 201",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832641",
            "telephone_number": "727-223-3424",
            "fax_number": "727-295-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Madison Ave Fl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "727-223-3424",
            "fax_number": "727-295-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISOLDI",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, AAPRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017154",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972745206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.