Odalis Garcia Paneque, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11013302 Issued in FL

Practice address

4507 N Armenia Ave
Tampa, FL 33603-2703

Phone

(813) 876-4100

NPI assigned

Jul 31, 2021

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Medical Group of Tampa Inc

  • Primary Care Clinic/Center
  • Tampa, FL
  • NPI 1073002218
  Medicare reassignment NPD
• Tampa Family Health Centers Inc

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1356347413
  Medicare reassignment NPD
• Tampa Family Health Centers, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1831769579
  NPD
• Tampa Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1851562367
  NPD
• Sergio J. Jacinto, M.D., P.a.

  • Specialist
  • Tampa, FL
  • NPI 1124128103
  NPD (past)

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1306519681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-876-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-876-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PANEQUE",
        "first_name": "ODALIS",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Garcia Mendez, ARNP
• Sandra Garcia Mesa
• Gretel Garcia Mora, COTA/L
• Liesbert Garcia Moreno, RBT
• Eminaldo Garcia Nunez
• Claudia M Garcia Perez
• Suleiny Garcia Perez, BCBA
• Yelaine Garcia Rayas
• Mairelis Garcia Regalado
• Sulema Garcia Requejo

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.