Active NPI
Joanna Mulder NP Inc
- Nurse Practitioner
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- JOANNA MULDER NP INC
- Practice address
- 13739 Ogakor Dr
Riverview, FL 33579-2303 - Phone
- (813) 940-6046
- Fax
- (866) 451-4607
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie E Ellison
- Title
- Owner
- Phone
- (813) 376-0742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
13739 Ogakor Dr
Riverview, FL 33579-2303
Mailing address
13739 Ogakor Dr
Riverview, FL 33579-2303
Phone (813) 940-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
311 W Sadie St
Brandon, FL 33510
Phone (813) 523-6014
804 W Bloomingdale Ave
Ofc
Brandon, FL 33511
Phone (813) 643-2093
825 Telfair Rd
Brandon, FL 33510
Phone (813) 655-1969
208 Marveline Dr
Lakeland, FL 33815
Phone (813) 410-8946
10804 Hackney Dr
Riverview, FL 33578
Phone (813) 671-1895
205 4th Ave N
#205
Saint Petersburg, FL 33701
Phone (727) 894-8427
6622 Stark Rd
Seffner, FL 33584
Phone (813) 623-3370
3808 N Lincoln Ave
Tampa, FL 33607
Phone (813) 443-2714
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Valrico, FL
- NPI 1629496385
-
- Primary Care Nurse Practitioner
- Valrico, FL
- NPI 1528614104
-
- Family Nurse Practitioner
- Valrico, FL
- NPI 1669582821
-
- Family Nurse Practitioner
- Brandon, FL
- NPI 1841155470
-
- Clinical Social Worker
- Clearwater, FL
- NPI 1508911579
-
- Assisted Living Facility
- Tampa, FL
- NPI 1861817876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1144756172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13739 OGAKOR DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335792303",
"telephone_number": "813-940-6046",
"fax_number": "866-451-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13739 OGAKOR DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335792303",
"telephone_number": "813-940-6046",
"fax_number": "866-451-4607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNA MULDER NP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-376-0742"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.