Individual provider Active NPI

Belkis Valdes

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1013508100
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011338 Issued in FL
Practice address
5464 Fulmar Dr
Tampa, FL 33625-1949
Phone
(813) 841-0652
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 11011338 FL Primary

Addresses

Primary practice location

5464 Fulmar Dr
Tampa, FL 33625-1949

Mailing address

5464 Fulmar Dr
Tampa, FL 33625-1949
Phone (813) 841-0652

Other practice location 1

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011338FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_bvaldes1@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1013508100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 FULMAR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251949",
            "telephone_number": "813-841-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 FULMAR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251949",
            "telephone_number": "813-841-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8875 Hidden River Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336372087",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES",
        "first_name": "BELKIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.