Individual provider Active NPI

Gina Salvador, APRN

  • Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1093570178
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028915 Issued in FL
Practice address
27716 Cashford Cir
Wesley Chapel, FL 33544-6962
Phone
(813) 388-5153
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028915 FL Primary

Addresses

Primary practice location

27716 Cashford Cir
Wesley Chapel, FL 33544-6962

Mailing address

21649 Violet Periwinkle Dr
Land O Lakes, FL 34637-4517
Phone (813) 385-4271

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
I20240916001960 FL Practitioner - Nurse Practitioner 1355882598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028915FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Walk-in Clinic LLC CurrentSince Jul 8, 2024 Accepting new patients

Locations

17929 Hunting Bow Cir
Lutz, FL 33558
Phone (813) 792-8555

Organizations & group practices 1

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": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093570178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21649 VIOLET PERIWINKLE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346374517",
            "telephone_number": "813-385-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27716 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446962",
            "telephone_number": "813-388-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "GINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.