Active NPI
Katia Irueta Miranda, APRN
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11023979
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110223979 | FL | MD | Family Nurse Practitioner |
| APRN11023979 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Family Health Centers, Inc | Current | Accepting new patients | |
| Tampa Family Health Centers Inc | Current | Accepting new patients | |
| Tampa Family Health Centers, Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1316942840
-
- General Practice Physician
- Tampa, FL
- NPI 1831769579
-
dba Tampa Family Health Center #30
- General Practice Physician
- Tampa, FL
- NPI 1447544010
-
dba TFHC # 23 - North Nebraska
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1649548017
-
- Federally Qualified Health Center (FQHC)
- Lutz, FL
- NPI 1699402131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.