Individual provider Active NPI

Allison Culpepper Halsema, NP

  • Family Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1497175335
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9272904 Issued in FL
Practice address
5433 Burnt Hickory Dr
Valrico, FL 33596-9204
Phone
(813) 340-4124
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN230710 GA
Family Nurse Practitioner 363LF0000X 95026995 CA
Family Nurse Practitioner 363LF0000X 19796 TN
Family Nurse Practitioner 363LF0000X NP5000017422 DC
Family Nurse Practitioner 363LF0000X AP60384168 WA
Family Nurse Practitioner 363LF0000X APRN-48050 HI
Family Nurse Practitioner 363LF0000X 5341 CT
Family Nurse Practitioner 363LF0000X C-APN0003142 CO
Family Nurse Practitioner 363LF0000X NP-1285A ID
Family Nurse Practitioner 363LF0000X 209012119 IL
Family Nurse Practitioner 363LF0000X 71015154A IN
Family Nurse Practitioner 363LF0000X 83081 KS
Family Nurse Practitioner 363LF0000X 30080000 KY
Family Nurse Practitioner 363LF0000X RN2288894 MA
Family Nurse Practitioner 363LF0000X 9272904 FL Primary

Addresses

Primary practice location

5433 Burnt Hickory Dr
Valrico, FL 33596-9204

Mailing address

5433 Burnt Hickory Dr
Valrico, FL 33596-9204
Phone (813) 340-4124

Other names 1

  • Martha Allison Culpepper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026995CAMDFamily Nurse Practitioner
C-APN0003142COMDFamily Nurse Practitioner
NP5000017422DCMDFamily Nurse Practitioner
9272904FLMDFamily Nurse Practitioner
RN230710GAMDFamily Nurse Practitioner
APRN-48050HIMDFamily Nurse Practitioner
NP-1285AIDMDFamily Nurse Practitioner
209012119ILMDFamily Nurse Practitioner
71015154AINMDFamily Nurse Practitioner
83081KSMDFamily Nurse Practitioner
30080000KYMDFamily Nurse Practitioner
RN2288894MAMDFamily Nurse Practitioner
AP60384168WAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1497175335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 BURNT HICKORY DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335969204",
            "telephone_number": "813-340-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 BURNT HICKORY DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335969204",
            "telephone_number": "813-340-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEMA",
        "first_name": "ALLISON",
        "middle_name": "CULPEPPER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230710",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026995",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP5000017422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60384168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-48050",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5341",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN0003142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1285A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015154A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "83081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "30080000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2288894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9272904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "CULPEPPER",
            "middle_name": "ALLISON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.