Annamma Abraham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11033286 Issued in FL

Practice address

3919 Tampa Rd
Oldsmar, FL 34677-3114

Phone

(727) 733-6111

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Psychiatric Health IncGroup PAC ID 7810290384, 26 clinicians

Hakuna Matata Psychiatry Services PLLCGroup PAC ID 1153651377, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Psychiatric Health Inc

  • Psychiatry Physician
  • Wesley Chapel, FL
  • NPI 1861877144
  Medicare reassignment Care Compare group NPD
• Hakuna Matata Psychiatry Services PLLC

  • Psychiatry Physician
  • Inlet Beach, FL
  • NPI 1699331132
  Medicare reassignment Care Compare group NPD
• Health & Psychiatrist Consultants LLC

  • Multi-Specialty Clinic/Center
  • Oldsmar, FL
  • NPI 1467696062
  Medicare reassignment NPD
• Partners in Medicine & Surgery, P.a.

  dba 360 Dermatology

  • MOHS-Micrographic Surgery Physician
  • Wesley Chapel, FL
  • NPI 1265713903
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1194568279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19347 FALLGLO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277447",
            "telephone_number": "407-729-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773114",
            "telephone_number": "727-733-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ANNAMMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 24-7 Laboratories LLC
• 3865 Tampa Road LLC (West Bay of Tampa)
• Aaa Medical Equipment
• ABA Solutions, Inc.
• Melinda Abbitt
• Shanda Nicole Abraham, COTA
• Accurate Care Home Health LLC
• Lisa A Adamich, PHARMD
• Diane Adams
• Amanda Adkins

• Psychiatric/Mental Health Nurse Practitioner in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.