Individual provider Active NPI

Kim Truong, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1407409873
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9327201 Issued in FL
Practice address
15303 Amberly Dr Ste a
Tampa, FL 33647-2308
Phone
(813) 751-9727
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X RN327201 FL
Family Nurse Practitioner 363LF0000X APRN9327201 FL Primary

Addresses

Primary practice location

15303 Amberly Dr Ste a
Tampa, FL 33647-2308

Mailing address

15303 Amberly Dr Ste a
Tampa, FL 33647-2308
Phone (813) 751-9727

Other practice location 1

5414 Town N Country Blvd
Tampa, FL 33615-4120
Phone (813) 886-4395

Other practice location 2

5111 Ehrlich Rd Ste 110
Tampa, FL 33624-2075
Phone (239) 533-5770

Other practice location 3

11300 Lindbergh Blvd Ste 107A
Fort Myers, FL 33913-8827
Phone (239) 533-5770

Other practice location 4

6500 S Dixie Hwy Ste C
West Palm Beach, FL 33405-4416
Phone (239) 533-5770

Other practice location 5

7710 NW 71st Ct Ste 301
Tamarac, FL 33321-2932
Phone (239) 533-3570

Other practice location 6

2800 Davis Blvd Ste 202
Naples, FL 34104-4370
Phone (239) 610-0716

Other practice location 7

8039 Cooper Creek Blvd Ste 106
University Park, FL 34201-3007
Phone (239) 533-5770

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
I20200226000711 FL Practitioner - Nurse Practitioner 8123455482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Infusion LLCGroup PAC ID 2163856550, 5 clinicians

Practice addresses (Care Compare)

11300 Lindbergh Blvd
Suite 107a
Fort Myers, FL 33913-8827
Phone (239) 204-5984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN327201FLMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Infusion LLC CurrentSince Nov 9, 2022 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Jun 1, 2022 Accepting new patients
Advanced Care Gastroenterology Associates CurrentSince Feb 4, 2020 Accepting new patients
Wayne Lee MD Plastic Surgery PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1020 E Brandon Blvd
Ste 101
Brandon, FL 33511
Phone (813) 579-3369

11300 Lindbergh Blvd
Ste 107A
Fort Myers, FL 33913
Phone (239) 204-5984

2800 Davis Blvd
Ste 202
Naples, FL 34104
Phone (239) 533-5770

3447 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 206-2880

5058 Conway Rd
Orlando, FL 32812
Phone (407) 401-2690

7710 NW 71st Ct
Ste 205
Tamarac, FL 33321
Phone (954) 376-7330

7710 NW 71st Ct
Ste 301
Tamarac, FL 33321
Phone (239) 533-3570

15303 Amberly Dr
Ste A
Tampa, FL 33647
Phone (813) 712-5700

5111 Ehrlich Rd
Ste 110
Tampa, FL 33624
Phone (239) 533-5770

8039 Cooper Creek Blvd
Ste 106
University Park, FL 34201
Phone (239) 533-5770

6500 S Dixie Hwy
Ste C
West Palm Beach, FL 33405
Phone (239) 533-5770

Organizations & group practices 4

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1407409873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-751-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-751-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 Town N Country Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154120",
            "country_code": "US",
            "telephone_number": "813-886-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5111 Ehrlich Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242075",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Lindbergh Blvd Ste 107A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339138827",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 S Dixie Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334054416",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7710 NW 71st Ct Ste 301",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212932",
            "country_code": "US",
            "telephone_number": "239-533-3570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Davis Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341044370",
            "country_code": "US",
            "telephone_number": "239-610-0716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8039 Cooper Creek Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "University Park",
            "state": "FL",
            "postal_code": "342013007",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KIM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN327201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9327201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.