Individual provider Active NPI

Rodrigo Da Costa Sabec, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1063012938
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009960 Issued in FL
Practice address
3317 W Gandy Blvd
Tampa, FL 33611-2931
Phone
(813) 902-8600
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 APRN11009960 FL Primary

Addresses

Primary practice location

3317 W Gandy Blvd
Tampa, FL 33611-2931

Mailing address

3508 W Cherokee Ave
Tampa, FL 33611-3616
Phone (813) 770-2695

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tampa Health Information Exchange (HIE)

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
I20201209000171 FL Practitioner - Nurse Practitioner 3870905284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midway Specialty Care Center IncGroup PAC ID 9638306087, 30 clinicians

Practice addresses (Care Compare)

3317 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 902-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009960FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midway Specialty Care Center Inc CurrentSince Nov 16, 2020 Accepting new patients
Prevention 305, Inc CurrentSince Mar 5, 2024 Accepting new patients

Locations

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

407 Lincoln Rd
Ste 6D
Miami Beach, FL 33139

3317 W Gandy Blvd
Tampa, FL 33611
Phone (813) 878-2222

3317 W Gandy Blvd
#813
Tampa, FL 33611
Phone (813) 902-8600

3317 W Gandy Blvd
Ste 813
Tampa, FL 33611

5224 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 712-1565

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGAD/Endpoint/EDJGAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1063012938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 W CHEROKEE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113616",
            "telephone_number": "813-770-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-902-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABEC",
        "first_name": "RODRIGO",
        "middle_name": "DA COSTA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "endpointDescription": "medical practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical information",
            "address_1": "3317 W Gandy Blvd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336112931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.