Individual provider Active NPI

Suecarla Evans Adams, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093360166
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004138 Issued in FL
Practice address
5510 N Hesperides St
Tampa, FL 33614-5414
Phone
(813) 467-6013
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9301517 FL
Family Nurse Practitioner 363LF0000X 11004138 FL Primary

Addresses

Primary practice location

5510 N Hesperides St
Tampa, FL 33614-5414

Mailing address

932 Summit Ridge Dr
Brandon, FL 33511-5508
Phone (813) 777-1918

Other practice location 1

932 Summit Ridge Dr
Brandon, FL 33511-5508
Phone (813) 777-1918

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
I20191211000404 FL Practitioner - Nurse Practitioner 7517390289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Ashit K Vijapura MD PAGroup PAC ID 8527198555, 10 clinicians

Practice addresses (Care Compare)

802 W Dr Martin Luther King Jr Blvd
Suite D
Plant City, FL 33563-5105
Phone (813) 754-1496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9301517FLMDRegistered Nurse
11004138FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashit K Vijapura MD PA CurrentSince Nov 17, 2021 Accepting new patients
Whitechapel Behavioral Services CurrentSince Feb 3, 2023 Accepting new patients

Locations

141 N Oakwood Ave
Brandon, FL 33510
Phone (813) 445-5538

802 W Dr Martin Luther King Jr Blvd
Ste D
Plant City, FL 33563
Phone (813) 707-9101

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1093360166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SUMMIT RIDGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115508",
            "telephone_number": "813-777-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-467-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Summit Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115508",
            "country_code": "US",
            "telephone_number": "813-777-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SUECARLA",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9301517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.