Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Godlive Desravines

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750072518

Godlive Desravines is a Nurse Practitioner in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Tampa Neuropsychiatry, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

4620 N 22nd St
Tampa, FL 33610-6205
Phone: (813) 397-5300
Fax: (813) 738-9034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11023834 (FL)

Record details

NPI number1750072518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tampa Neuropsychiatry — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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