Active NPI
Raziyeh Pakbaz, APRN
- Family Nurse Practitioner
- Thonotosassa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11000010 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Current | Accepting new patients | |
| Access Health Care Physicians LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- General Practice Physician
- Spring Hill, FL
- NPI 1245529742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.