Individual provider Active NPI

Gladys T Valle, APRN

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1184337925
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023516 Issued in FL
Practice address
9677 Seminole Blvd
Seminole, FL 33772-2526
Phone
(727) 490-9096
Fax
(727) 490-9299
NPI assigned
Dec 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 APRN11023516 FL Primary

Addresses

Primary practice location

9677 Seminole Blvd
Seminole, FL 33772-2526

Mailing address

9677 Seminole Blvd
Seminole, FL 33772-2526
Phone (727) 490-9096

Other practice location 1

1419 4th St SW
Largo, FL 33770-7540
Phone (727) 564-2025

Other practice location 2

646 Virginia St Ste 201
Dunedin, FL 34698-6612
Phone (727) 490-9096

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023516FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mairaj Uddin PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1184337925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9677 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722526",
            "telephone_number": "727-490-9096",
            "fax_number": "727-490-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9677 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722526",
            "telephone_number": "727-490-9096",
            "fax_number": "727-490-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337707540",
            "country_code": "US",
            "telephone_number": "727-564-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "646 Virginia St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346986612",
            "country_code": "US",
            "telephone_number": "727-490-9096",
            "fax_number": "727-490-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "GLADYS",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.