NPIMap

Organization Active NPI

Humana Medical Plan, Inc.

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1407286461
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HUMANA MEDICAL PLAN, INC.
Practice address
3111 W Dr Martin Luther King Jr Blvd Ste 600
Tampa, FL 33607-6225
Phone
(813) 226-7199
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Lori Dunne
Title
VP, Operations
Phone
(813) 226-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3111 W Dr Martin Luther King Jr Blvd Ste 600
Tampa, FL 33607-6225

Mailing address

3111 W Dr Martin Luther King Jr Blvd Ste 600
Tampa, FL 33607-6225

Other identifiers 1

IdentifierTypeStateIssuer
100049901MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Humana Medical Plan Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1407286461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W DR MARTIN LUTHER KING JR BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W DR MARTIN LUTHER KING JR BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076225",
            "telephone_number": "813-226-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA MEDICAL PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "813-226-7199"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.