Individual provider Active NPI

Audrey Jane Noles

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1467315242
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11044094 Issued in FL
Practice address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone
(813) 661-6199
Fax
(813) 661-6334
NPI assigned
Dec 8, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 APRN11044094 FL Primary

Addresses

Primary practice location

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Mailing address

4310 Burlington Ave N
Saint Petersburg, FL 33713-7326
Phone (734) 341-5317

Other practice location 1

4310 Burlington Ave N
Saint Petersburg, FL 33713-7326
Phone (734) 341-5317

Other practice location 2

203 N Marion St
Tampa, FL 33602-4914
Phone (813) 474-9804 ext. 5

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
I20260226000228 FL Practitioner - Nurse Practitioner 6507347630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 N Marion St
FL 2
Tampa, FL 33602-4914

203 N Marion St FL
Suite 2
Tampa, FL 33602-4914

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11044094FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group CurrentSince Jan 14, 2026 Accepting new patients
Inpatient Specialists Group CurrentSince Jan 14, 2026 Accepting new patients

Locations

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

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": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1467315242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BURLINGTON AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137326",
            "telephone_number": "734-341-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 Burlington Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337137326",
            "country_code": "US",
            "telephone_number": "734-341-5317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N Marion St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024914",
            "country_code": "US",
            "telephone_number": "813-474-9804 x5",
            "fax_number": "813-540-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLES",
        "first_name": "AUDREY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11044094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.