Individual provider Active NPI

Rebecca Kulish

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1346735677
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R9198410 Issued in FL
Practice address
20128 Heritage Point Dr
Tampa, FL 33647-3341
Phone
(813) 546-1406
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 R9198410 FL Primary

Addresses

Primary practice location

20128 Heritage Point Dr
Tampa, FL 33647-3341

Mailing address

20128 Heritage Point Dr
Tampa, FL 33647-3341
Phone (813) 546-1406

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
I20200428002215 FL Practitioner - Nurse Practitioner 3476983727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Chapel Internal Medicine and Pediatrics PAGroup PAC ID 8628082559, 3 clinicians

Practice addresses (Care Compare)

2038 Ashley Oaks Cir
Suite 102
Wesley Chapel, FL 33544-6413
Phone (813) 929-3622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9198410FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Chapel Internal Medicine and Pediatrics, PA CurrentSince Mar 1, 2020 Accepting new patients

Locations

2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHBDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHBDA/Endpoint/FDHBDA

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1346735677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20128 HERITAGE POINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473341",
            "telephone_number": "813-546-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20128 HERITAGE POINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473341",
            "telephone_number": "813-546-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULISH",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "R9198410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.