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LIDIA VANESSA GLADNEY PMHNP-BC FNP-C DNP NPI 1932681517


NPI Information

NPI: 1932681517
Provider Name: LIDIA VANESSA GLADNEY, PMHNP-BC, FNP-C, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6900 TAVISTOCK LAKES BLVD STE 400
ORLANDO, FL
ZIP 32827
Phone: (305) 842-4947
Get Directions

Lidia Vanessa Gladney, PMHNP-BC, FNP-C, DNP is a psychiatric/mental health nurse practitioner in Orlando, FL. Lidia Vanessa Gladney, PMHNP-BC, FNP-C, DNP NPI is 1932681517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6900 TAVISTOCK LAKES BLVD STE 400
ORLANDO, FL
ZIP 32827-593
Phone: (305) 842-4947
Fax: (407) 271-8526

The NPI 1932681517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 4/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerANRP9372900FLORIDANo
2363LF0000XNurse PractitionerFamilyANRPFLORIDANo
3363LP2300XNurse PractitionerPrimary Care9372900FLORIDANo
4364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthAPRN9372900FLORIDANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN9372900FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101170400MEDICAIDFLORIDA
219ZXGOTHERFLORIDAFLORIDA BLUE ID
3866H3OTHERFLORIDAFLORIDA BLUE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.