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

Tequila Golden, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1518430032

Tequila Golden, NURSEPRACTITIONER is a Nurse Practitioner in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Lowell F. Clark MD PA, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937
Phone: (800) 721-8839
Fax: (407) 386-6058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11000106 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11000106 (FL)

Record details

NPI number1518430032
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

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 Lowell F. Clark Md Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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