Active NPI
Andrea Marie Falcon, APRN-C
- Family Nurse Practitioner
- Trinity, FL
National Provider Identifier
1205188612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9241414
- Practice address
- 3610 Galileo Dr Ste 102
Trinity, FL 34655-1794 - Phone
- (813) 406-4835
- Fax
- (813) 994-4835
- NPI assigned
- Oct 9, 2012
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9241414 | FL | Primary |
Addresses
Primary practice location
3610 Galileo Dr Ste 102
Trinity, FL 34655-1794
Mailing address
7547 Jacque Rd
Hudson, FL 34667-7163
Phone (727) 862-8561
Other practice location 1
28960 US 19 N Ste 104
Clearwater, FL 33761-2403
Phone (813) 406-4835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- afalcon@directaddress.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1205188612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7547 JACQUE RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677163",
"telephone_number": "727-862-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 GALILEO DR STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551794",
"telephone_number": "813-406-4835",
"fax_number": "813-994-4835"
}
],
"practiceLocations": [
{
"address_1": "28960 US 19 N Ste 104",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337612403",
"country_code": "US",
"telephone_number": "813-406-4835",
"fax_number": "813-994-4835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALCON",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "APRN-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9241414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.