Individual provider Active NPI

Ana C Clavijo, APRN

  • Women's Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1427716513
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11016819 Issued in FL
Practice address
5 Tampa General Cir Ste 240
Tampa, FL 33606-3578
Phone
(813) 258-3309
Fax
(813) 251-4454
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11016819 FL Primary

Addresses

Primary practice location

5 Tampa General Cir Ste 240
Tampa, FL 33606-3578

Mailing address

5 Tampa General Cir Ste 240
Tampa, FL 33606-3578
Phone (813) 258-3309

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TAMPA Health Information Exchange (HIE)

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
I20240415003773 FL Practitioner - Nurse Practitioner 9931548591 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Feb 25, 2024 Accepting new patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers Inc CurrentSince Feb 25, 2024 Accepting new patients
M & D Care, Inc. D/B/a Women's Health Care PastSince Dec 12, 2021 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

302 W Fletcher Ave
Tampa, FL 33612

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

12410 N Nebraska Ave
Tampa, FL 33612

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1427716513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063578",
            "telephone_number": "813-258-3309",
            "fax_number": "813-251-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063578",
            "telephone_number": "813-258-3309",
            "fax_number": "813-251-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVIJO",
        "first_name": "ANA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11016819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Tampa General Cir Ste 240",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.