Individual provider Active NPI

Kasey Sheridan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Saint Joe, FL
National Provider Identifier
1972925550
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11046251 Issued in FL
Practice address
3871 E Highway 98 Ste 101
Port Saint Joe, FL 32456-5302
Phone
(850) 705-6209
Fax
(850) 952-0902
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201547 CO
Registered Nurse 163W00000X 2009024224 MO
Registered Nurse 163W00000X RN9318530 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11046251 FL Primary

Addresses

Primary practice location

3871 E Highway 98 Ste 101
Port Saint Joe, FL 32456-5302

Mailing address

3871 E Highway 98 Ste 101
Port Saint Joe, FL 32456-5302
Phone (850) 705-6209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12135 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609

PO Box
Suite 5254
Poland, OH 44514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201547COMDRegistered Nurse
RN9318530FLMDRegistered Nurse
2009024224MOMDRegistered Nurse
11046251FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1972925550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 E HIGHWAY 98 STE 101",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324565302",
            "telephone_number": "850-705-6209",
            "fax_number": "850-952-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 E HIGHWAY 98 STE 101",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324565302",
            "telephone_number": "850-705-6209",
            "fax_number": "850-952-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KASEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "201547",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009024224",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9318530",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11046251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Joe, FL

Sources for this page

Verify at the official NPI Registry.