Individual provider Active NPI

Brittney Poole Gurski

  • Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1104333889
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9349508 Issued in FL
Practice address
3444 Lithia Pinecrest Rd
Valrico, FL 33596-6301
Phone
(813) 643-9393
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 ARNP9349508 FL Primary

Addresses

Primary practice location

3444 Lithia Pinecrest Rd
Valrico, FL 33596-6301

Mailing address

10921 Banyan Wood Way
Riverview, FL 33579-2340

Other practice location 1

13162 US Highway 301 S
Riverview, FL 33578-7410
Phone (813) 677-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9349508FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Urgent Care Associates LLC PastSince Apr 6, 2023 Accepting new patients
Sunrise Urgent Care Associate LLC Past Accepting new patients
Jr Medical Group LLC PastSince Dec 31, 2023 Accepting new patients

Organizations & group practices 3

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104333889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 BANYAN WOOD WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966301",
            "telephone_number": "813-643-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13162 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787410",
            "country_code": "US",
            "telephone_number": "813-677-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE GURSKI",
        "first_name": "BRITTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9349508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.