Individual provider Active NPI

Johanna Blancaflor Wellington, APRN

  • Family Nurse Practitioner
  • Land O' Lakes, FL
National Provider Identifier
1215459763
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024240 Issued in FL
Practice address
3715 Tuckerton Dr
Land O Lakes, FL 34638-8185
Phone
(813) 695-8109
NPI assigned
Jul 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 APRN11024240 FL Primary

Addresses

Primary practice location

3715 Tuckerton Dr
Land O Lakes, FL 34638-8185

Mailing address

14818 Caravan Ave
Odessa, FL 33556-3752
Phone (813) 695-8109

Other names 1

  • Johanna Blancaflor Jones Former name

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
I20230509002387 FL Practitioner - Nurse Practitioner 2668706482 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024240FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

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": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1215459763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 CARAVAN AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563752",
            "telephone_number": "813-695-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 TUCKERTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388185",
            "telephone_number": "813-695-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINGTON",
        "first_name": "JOHANNA",
        "middle_name": "BLANCAFLOR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "JONES",
            "middle_name": "BLANCAFLOR",
            "credential": "RN, FNP-BC, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.