Mary Angeline Anderson, APRN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APRN9217012 Issued in FL

Practice address

1513 W Busch Blvd
Tampa, FL 33612-7603

Phone

(813) 684-2229

Fax

(813) 413-8516

NPI assigned

May 20, 2009

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1063679009
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1215280003
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1356760359
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Plant City, FL
  • NPI 1376820720
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1477710242
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1689904633
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
  • NPI 1699108183
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1902209257
  NPD (past)
• Exodus Women's Center, Inc.

  • Obstetrics & Gynecology Physician
  • Winter Haven, FL
  • NPI 1922542810
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1346475399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127603",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127603",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115710",
            "country_code": "US",
            "telephone_number": "813-654-2273",
            "fax_number": "813-654-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ANGELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9217012",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN9217012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Anderson, PA
• Kara Anderson, MS, LMHC, LPCC-S
• Kilia L Anderson, MT
• Lenka Anderson, ARNP
• Madison Anderson
• Mary Linda Anderson, A.R.N.P.
• Matthew L Anderson, MD
• Olivia Anderson
• Onica Anderson, PHARM.D.
• Phoebe Anderson, RBT

• Obstetrics & Gynecology Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.