Individual provider Active NPI

Titi Ogunu, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1346600244
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9332379 Issued in FL
Practice address
3902 Henderson Blvd Ste 208-12
Tampa, FL 33629-5038
Phone
(813) 867-4990
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 ARNP9332379 FL Primary

Addresses

Primary practice location

3902 Henderson Blvd Ste 208-12
Tampa, FL 33629-5038

Mailing address

3902 Henderson Blvd Ste 208-12
Tampa, FL 33629-5038
Phone (813) 867-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160722001429 FL Practitioner - Nurse Practitioner 3072806496 Reassigns benefits to 1 organization
I20260605000920 CA Practitioner - Nurse Practitioner 3072806496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Woods Lake Rd
Suite 102
Greenville, SC 29607-2723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9332379FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Home Health Services LLC Current Accepting new patients

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1346600244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 HENDERSON BLVD STE 208-12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295038",
            "telephone_number": "813-867-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 HENDERSON BLVD STE 208-12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295038",
            "telephone_number": "813-867-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNU",
        "first_name": "TITI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2022-02-21",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9332379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.