Individual provider Active NPI

Katia Irueta Miranda, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1275239998
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023979 Issued in FL
Practice address
8213 W Waters Ave FL 1822
Tampa, FL 33615-1822
Phone
(813) 397-5300
Fax
(813) 738-9032
NPI assigned
Feb 3, 2023
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023979 FL Primary
Family Nurse Practitioner 363LF0000X 110223979 FL

Addresses

Primary practice location

8213 W Waters Ave FL 1822
Tampa, FL 33615-1822

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

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
I20230324002715 FL Practitioner - Nurse Practitioner 6507230943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

8213 W Waters Ave
Tampa, FL 33615-1822
Phone (813) 397-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110223979FLMDFamily Nurse Practitioner
APRN11023979FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Feb 13, 2023 Accepting new patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Feb 13, 2023 Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients

Locations

19203 N Dale Mabry Hwy
Lutz, FL 33548

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

302 W Fletcher Ave
Tampa, FL 33612

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 284-4554

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

8213 W Waters Ave
Fl 1822
Tampa, FL 33615

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1275239998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 W WATERS AVE FL 1822",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151822",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRUETA MIRANDA",
        "first_name": "KATIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023979",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "110223979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.