Individual provider Active NPI

Raziyeh Pakbaz, APRN

  • Family Nurse Practitioner
  • Thonotosassa, FL
National Provider Identifier
1376014894
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000010 Issued in FL
Practice address
10616 Main St
Thonotosassa, FL 33592-2828
Phone
(813) 986-1346
Fax
(813) 986-6642
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 APRN11000010 FL Primary

Addresses

Primary practice location

10616 Main St
Thonotosassa, FL 33592-2828

Mailing address

10616 Main St
Thonotosassa, FL 33592-2828
Phone (813) 986-1346

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
I20190110002718 FL Practitioner - Nurse Practitioner 7810233939 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
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

10616 Main St
Thonotosassa, FL 33592-2828
Phone (813) 986-1346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000010FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Jun 30, 2025 Accepting new patients
Access Health Care Physicians LLC CurrentSince Dec 10, 2018 Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

10616 Main St
Thonotosassa, FL 33592
Phone (813) 220-5535

4949 6th St
Zephyrhills, FL 33542
Phone (321) 422-2303

7323 Green Slope Dr
Ste 104105
Zephyrhills, FL 33541
Phone (813) 788-1940

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: raziyeh.pakbaz@wellmed.eclinicaldirectplus.com

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1376014894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 MAIN ST",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922828",
            "telephone_number": "813-986-1346",
            "fax_number": "813-986-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 MAIN ST",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922828",
            "telephone_number": "813-986-1346",
            "fax_number": "813-986-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKBAZ",
        "first_name": "RAZIYEH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thonotosassa, FL

Sources for this page

Verify at the official NPI Registry.