Individual provider Active NPI

Krista Bonica Taylor, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1114424934
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9340755 Issued in FL
Practice address
800 W. Dr Martin Luther King Jr Blvd Suite #4
Tampa, FL 33603
Phone
(813) 767-8080
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 9340755 FL Primary

Addresses

Primary practice location

800 W. Dr Martin Luther King Jr Blvd Suite #4
Tampa, FL 33603

Mailing address

800 W Dr Martin Luther King Jr Blvd Ste 4
Tampa, FL 33603-3320
Phone (813) 565-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9340755FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hmfmd PLLC Doctor Doctor Primary Care Services CurrentSince Dec 17, 2023 Accepting new patients
Jawan Ayer MD, LLC CurrentSince Jun 8, 2021 Accepting new patients

Locations

800 W Dr Martin Luther King Jr Blvd
Ste 4
Tampa, FL 33603
Phone (813) 743-4383

5470 E Busch Blvd
Temple Terrace, FL 33617
Phone (727) 820-7778

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1114424934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W DR MARTIN LUTHER KING JR BLVD STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033320",
            "telephone_number": "813-565-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W. DR MARTIN LUTHER KING JR BLVD SUITE #4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-767-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTA",
        "middle_name": "BONICA",
        "name_prefix": "Prof.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9340755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.