Rachael Pavone, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000836 Issued in FL

Practice address

2011 N Wheeler St
Plant City, FL 33563-1860

Phone

(877) 640-7820

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Sunspire Health Florida, LLC

  dba White Sands Alcohol & Drug Rehab

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tampa, FL
  • NPI 1619308756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1174096614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N WHEELER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631860",
            "telephone_number": "877-640-7820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094644",
            "country_code": "US",
            "telephone_number": "305-772-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVONE",
        "first_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000836",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "APRN11000836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Himandri Patel, OD
• Krupa Patel
• Nayankumar Rameshbhai Patel, MD
• Priya Patel, PHARMD
• Patty's House 3 LLC
• Avon Jackson Peacock, RPH
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Johanna Pedraza, ARNP
• Peggy Joyce Hargrove (Joyce Love & Care Home Inc.)

• Family Nurse Practitioner in Plant City, FL
• Providers in Plant City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.