Individual provider Active NPI

Ramon Aviso, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1003671652
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028188 Issued in FL
Practice address
2814 Ridge Hollow LN
Lutz, FL 33559-8213
Phone
(813) 638-7735
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028188 FL Primary

Addresses

Primary practice location

2814 Ridge Hollow LN
Lutz, FL 33559-8213

Mailing address

2814 Ridge Hollow LN
Lutz, FL 33559-8213
Phone (813) 638-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001487 FL Practitioner - Nurse Practitioner 3375982481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2814 Ridge Hollow LN
Lutz, FL 33559-8213

3225 S Macdill Ave
Suite 129 385
Tampa, FL 33629-8171

3442 Cup Dr
Lakeland, FL 33803-5506

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care, LLC CurrentSince Mar 12, 2024 Accepting new patients
Healnexxt Woundcare LLC CurrentSince May 1, 2025 Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

3225 S Macdill Ave
Ste 129385
Tampa, FL 33629
Phone (813) 505-5060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1003671652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 RIDGE HOLLOW LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598213",
            "telephone_number": "813-638-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 RIDGE HOLLOW LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598213",
            "telephone_number": "813-638-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISO",
        "first_name": "RAMON",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.