Individual provider Active NPI

Becky Akonwah, NP

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1376138651
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11011250 Issued in FL
Practice address
7320 E Fletcher Ave
Tampa, FL 33637-0916
Phone
(813) 490-6205
NPI assigned
Mar 8, 2021
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X APRN11011250 FL Primary

Addresses

Primary practice location

7320 E Fletcher Ave
Tampa, FL 33637-0916

Mailing address

31029 Baclan Dr
Wesley Chapel, FL 33545-8271
Phone (813) 484-0261

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
I20231213002709 FL Practitioner - Nurse Practitioner 4284002981 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011250FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Helpers Home Healthcare LLC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Swallowing Diagnostics Inc Single Specialty CurrentSince Jan 8, 2025 Accepting new patients
BW Healthcare Services LLC CurrentSince Mar 16, 2021 Accepting new patients

Locations

7320 E Fletcher Ave
Temple Terrace, FL 33637
Phone (813) 490-1800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1376138651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31029 BACLAN DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335458271",
            "telephone_number": "813-484-0261",
            "fax_number": "813-973-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370916",
            "telephone_number": "813-490-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKONWAH",
        "first_name": "BECKY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11011250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.