Individual provider Active NPI

Gloria Patricia Lopez, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1427451566
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9357481 Issued in FL
Practice address
915 Chestnut St Ste 200
Clearwater, FL 33756-5643
Phone
(727) 442-1917
Fax
(727) 219-2446
NPI assigned
Oct 3, 2014
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9357481 FL Primary

Addresses

Primary practice location

915 Chestnut St Ste 200
Clearwater, FL 33756-5643

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

1260 W Bay Dr Ste C
Largo, FL 33770-2285
Phone (727) 935-0500

Other identifiers 1

IdentifierTypeStateIssuer
023219800MedicaidFL

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
I20150121001362 FL Practitioner - Nurse Practitioner 0749504884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

1201 S Myrtle Ave
Clearwater, FL 33756-3424
Phone (727) 442-1917

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

915 Chestnut St
Suite 200
Clearwater, FL 33756-5643
Phone (727) 442-1917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9357481FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC CurrentSince Mar 18, 2018 Accepting new patients

Locations

1201 S Myrtle Ave
Clearwater, FL 33756
Phone (727) 442-1917

915 Chestnut St
Ste 200
Clearwater, FL 33756
Phone (727) 442-1917

1260 West Bay Dr
Ste C
Largo, FL 33770
Phone (717) 935-0500

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: glopez@aadermaffiliates.emadirect.md
  • Direct secure messaging: glopez@directaddress.net

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, 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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1427451566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CHESTNUT ST STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565643",
            "telephone_number": "727-442-1917",
            "fax_number": "727-219-2446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 W Bay Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702285",
            "country_code": "US",
            "telephone_number": "727-935-0500",
            "fax_number": "727-935-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GLORIA",
        "middle_name": "PATRICIA",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9357481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023219800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.