HEART 623 HEART
NPI 1336730951
Nurse Practitioner - Psychiatric/Mental Health in Sunrise, FL

Q: What is Heart 623 Heart's NPI number?

The NPI number for Heart 623 Heart is 1336730951. It was assigned to this organization in the NPPES registry on January 27, 2021.

Q: What is Heart 623 Heart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Heart 623 Heart was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2021

14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323(954) 480-3072 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jan 28, 2021 (2 updates tracked since 2021).

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About Heart 623 Heart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART 623 HEART (NPI 1336730951) is a healthcare organization registered as a psychiatric/mental health in Sunrise, Florida and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Gainesville and lists Edlyne Joseph, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1336730951

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameHEART 623 HEART

Location Address14201 W SUNRISE BLVD STE 208Sunrise, FL 33323-3207

Mailing Address4846 N University Dr Ste 612Lauderhill, FL 33351-4510 · (954) 480-3072

Phone(954) 480-3072

Organization SubpartNo

Authorized OfficialEdlyne JosephPmhnp · (954) 480-3072

Enumeration DateJanuary 27, 2021

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1336730951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

14201 W SUNRISE BLVD STE 208, Sunrise, FL 33323

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Secondary Practice Location 1

Location 11225 NW 10th AveGainesville, FL 32601-4154 · Phone (954) 480-3072

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE KUPERSMITH APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)