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

Mackenzie Aileen Miranda Padilla

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740153196

Mackenzie Aileen Miranda Padilla is a Nurse Practitioner in Tavares, Florida. Qualified in 2025, 1 year ago. Practices with Advanced Behavioral Health Center PA, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1799 Salk Ave
Tavares, FL 32778-4311
Phone: (352) 742-8300
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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 11041035 (FL)

Record details

NPI number1740153196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address1799 Salk Ave, Tavares, FL 32778-4311

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Behavioral Health Center Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tavares