Individual provider Active NPI

Magdonald Aime, ARNP

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1316713738
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11029859 Issued in FL
Practice address
401 W Kennedy Blvd
Tampa, FL 33606-1450
Phone
(813) 253-3333
NPI assigned
Nov 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11029859 FL Primary

Addresses

Primary practice location

401 W Kennedy Blvd
Tampa, FL 33606-1450

Mailing address

7703 N Riverdale Ave
Tampa, FL 33604-4120
Phone (239) 324-3884

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
I20240308002636 FL Practitioner - Nurse Practitioner 4284070590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029859FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healnexxt Woundcare LLC CurrentSince Jan 31, 2025 Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567

Organizations & group practices 1

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316713738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 N RIVERDALE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336044120",
            "telephone_number": "239-324-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061450",
            "telephone_number": "813-253-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIME",
        "first_name": "MAGDONALD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11029859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.