Individual provider Active NPI

Nely Ochoa Oliveros, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1306664677
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035522 Issued in FL
Practice address
6417 Willow Wood LN
Tampa, FL 33634-4751
Phone
(813) 614-5362
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 11035522 FL Primary

Addresses

Primary practice location

6417 Willow Wood LN
Tampa, FL 33634-4751

Mailing address

6417 Willow Wood LN
Tampa, FL 33634-4751

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
I20241118000197 FL Practitioner - Nurse Practitioner 2365976099 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Functional and Interventional Gastroenterology PLLC CurrentSince Dec 31, 2024 Accepting new patients
Pain and Supportive Care, PA CurrentSince Feb 2, 2026 Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 406
Tampa, FL 33613
Phone (813) 345-2380

10004 N Dale Mabry Hwy
Ste 101
Tampa, FL 33618
Phone (813) 391-3990

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1306664677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 WILLOW WOOD LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 WILLOW WOOD LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344751",
            "telephone_number": "813-614-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOA OLIVEROS",
        "first_name": "NELY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.