Individual provider Active NPI

Christine Raffoul, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1437923372
Registry record updated Nov 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028672 Issued in FL
Practice address
2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone
(813) 999-0505
Fax
(813) 701-9450
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 APRN11028672 FL Primary

Addresses

Primary practice location

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189

Mailing address

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone (813) 999-0505

Other practice location 1

33853 State Road 54 Ste 102
Zephyrhills, FL 33543-9105
Phone (813) 999-0505

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
I20231221003633 FL Practitioner - Nurse Practitioner 1355791930 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Direct Primary Care PLLC CurrentSince Nov 18, 2023 Accepting new patients
Florida Medical Clinic, LLC PastSince Nov 12, 2023 Accepting new patients

Locations

2236 Green Hedges Way
Wesley Chapel, FL 33544
Phone (813) 358-3578

33853 Wesley Chapel Blvd
Ste 102
Zephyrhills, FL 33543
Phone (813) 715-2006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23694/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1437923372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33853 State Road 54 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335439105",
            "country_code": "US",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFOUL",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.