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

Samuel O Battle

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1013635150

Samuel O Battle is a Nurse Practitioner in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Lifestream Behavioral Center Inc, a 17-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

4300 W Cypress
Tampa, FL 33607-4159
Phone: (813) 207-7769
Fax: (813) 200-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6804 Cecelia Drive, New Port Richey, FL 34653-4935 — (855) 232-0644

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9356493 (FL)

Record details

NPI number1013635150
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address4300 West Cypress, Tampa, FL 33607-4159

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 Lifestream Behavioral Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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