Active NPI
Andrea Jane Virgili
- Women's Health Nurse Practitioner
- Oldsmar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- ARNP9247104
- Practice address
- 122 Mobbly Bay Dr
Oldsmar, FL 34677-4014 - Phone
- (813) 943-7164
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP9247104 | FL | Primary |
Addresses
Primary practice location
122 Mobbly Bay Dr
Oldsmar, FL 34677-4014
Mailing address
122 Mobbly Bay Dr
Oldsmar, FL 34677-4014
Other names 1
- Andrea Jane Burns
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9247104 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Current | Accepting new patients |
Locations
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
15310 Amberly Dr
Ste 300
Tampa, FL 33647
Phone (813) 978-1933
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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1124452966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MOBBLY BAY DR",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346774014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 MOBBLY BAY DR",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346774014",
"telephone_number": "813-943-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGILI",
"first_name": "ANDREA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP9247104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BURNS",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.