Individual provider Active NPI

Nicole Daniela Tek, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1174484141
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042498 Issued in FL
Practice address
3218 W Azeele St
Tampa, FL 33609-3018
Phone
(813) 701-5804
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 11042498 FL Primary

Addresses

Primary practice location

3218 W Azeele St
Tampa, FL 33609-3018

Mailing address

340 W Ross Ave Apt 129
Tampa, FL 33602-2061
Phone (516) 510-3780

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319001207 FL Practitioner - Nurse Practitioner 4587148341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860

PO Box
Tampa, FL 33622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042498FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC CurrentSince Feb 1, 2026 Accepting new patients
Excel Pain and Spine LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

414 W Robertson St
Brandon, FL 33511
Phone (813) 657-6767

3909 Galen Ct
Ste 104
Sun City Ctr, FL 33573
Phone (813) 400-3879

3218 W Azeele St
Tampa, FL 33609
Phone (813) 879-1188

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": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1174484141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W ROSS AVE APT 129",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022061",
            "telephone_number": "516-510-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093018",
            "telephone_number": "813-701-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEK",
        "first_name": "NICOLE",
        "middle_name": "DANIELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.