Active NPI
Lora Diane Nylund, MSN, APRN
- Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1134917222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11038011
- Practice address
- 3520 38TH Ave N
St Petersburg, FL 33713-1448 - Phone
- (727) 471-5039
- NPI assigned
- Apr 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11038011 | FL | |
| Nurse Practitioner | 363L00000X | 11038011 | FL | Primary |
Addresses
Primary practice location
3520 38TH Ave N
St Petersburg, FL 33713-1448
Mailing address
28744 Stormcloud Pass
Wesley Chapel, FL 33543-6424
Phone (901) 254-9844
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11038011 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowman & Hampsey Medical Clinic, Inc | Current | Accepting new patients |
Locations
3251 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6110
3520 38th Ave N
St Petersburg, FL 33713
Phone (727) 471-5039
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Primary Care Clinic/Center
- Clearwater, FL
- NPI 1205264355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1134917222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28744 STORMCLOUD PASS",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335436424",
"telephone_number": "901-254-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337131448",
"telephone_number": "727-471-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYLUND",
"first_name": "LORA",
"middle_name": "DIANE",
"credential": "MSN, APRN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-28",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11038011",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11038011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.