Individual provider Active NPI

Leila Grouicha, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1073311387
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035909 Issued in FL
Practice address
4129 W Kennedy Blvd Ste 2
Tampa, FL 33609-2254
Phone
(813) 384-8872
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 11035909 FL Primary

Addresses

Primary practice location

4129 W Kennedy Blvd Ste 2
Tampa, FL 33609-2254

Mailing address

4129 W Kennedy Blvd Ste 2
Tampa, FL 33609-2254

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
I20250523000416 FL Practitioner - Nurse Practitioner 0941729834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Team PAGroup PAC ID 8628318599, 5 clinicians

Practice addresses (Care Compare)

1258 W Bay Dr
Suite D
Largo, FL 33770-2277
Phone (727) 420-6374

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035909FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf to Bay Infectious Disease Consultants PLLC CurrentSince Jun 1, 2025 Accepting new patients
Id Team PA CurrentSince May 1, 2025 Accepting new patients

Locations

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

10460 Roosevelt Blvd N
St Petersburg, FL 33716
Phone (727) 259-9523

4129 W Kennedy Blvd
Ste 2
Tampa, FL 33609
Phone (813) 384-8872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1073311387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 W KENNEDY BLVD STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 W KENNEDY BLVD STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092254",
            "telephone_number": "813-384-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUICHA",
        "first_name": "LEILA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.