Individual provider Active NPI

Andrea Mole, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1508479841
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007800 Issued in FL
Practice address
2931 W Hillsborough Ave
Tampa, FL 33614-6054
Phone
(813) 930-0930
Fax
(813) 930-0950
NPI assigned
Aug 26, 2020
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 APRN11007800 FL Primary

Addresses

Primary practice location

2931 W Hillsborough Ave
Tampa, FL 33614-6054

Mailing address

2931 W Hillsborough Ave
Tampa, FL 33614-6054
Phone (813) 930-0930

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
I20201021001319 FL Practitioner - Nurse Practitioner 5092135616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose R Mole MD PAGroup PAC ID 8022014331, 4 clinicians

Practice addresses (Care Compare)

2931 W Hillsborough Ave
Tampa, FL 33614-6054
Phone (813) 930-0930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007800FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose R Mole MD PA CurrentSince May 3, 2023 Accepting new patients
Global Health Advisors, LLC CurrentSince Aug 17, 2020 Accepting new patients
Aarna Hospitality LLC PastSince May 3, 2023 Accepting new patients
Health Holdings Company LLC PastSince Jul 25, 2021 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

2931 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 667-6075

6640 Gunn Hwy
Tampa, FL 33625
Phone (813) 666-1430

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1508479841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146054",
            "telephone_number": "813-930-0930",
            "fax_number": "813-930-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146054",
            "telephone_number": "813-930-0930",
            "fax_number": "813-930-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLE",
        "first_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.