Individual provider Active NPI

Dailen Marrero

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1376236125
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024791 Issued in FL
Practice address
14527 Knoll Ridge Dr
Tampa, FL 33625-3338
Phone
(502) 654-0428
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 11024791 FL Primary

Addresses

Primary practice location

14527 Knoll Ridge Dr
Tampa, FL 33625-3338

Mailing address

14527 Knoll Ridge Dr
Tampa, FL 33625-3338
Phone (502) 654-0428

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
I20240822000244 FL Practitioner - Nurse Practitioner 2062951072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024791FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisset Maria Suarez MD PA CurrentSince Jul 12, 2024 Accepting new patients

Locations

8316 Hanley Rd
Ste 1
Tampa, FL 33634
Phone (813) 886-9597

8316 Hanley Rd
Ste 12
Tampa, FL 33634
Phone (813) 890-7246

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1376236125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 KNOLL RIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253338",
            "telephone_number": "502-654-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 KNOLL RIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253338",
            "telephone_number": "502-654-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "DAILEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.