Active NPI
Barbara Anne Geschke Nedervelt, ARNP
- Women's Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1528040110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 740352
- Practice address
- 3250 Zemke Ave
Tampa, FL 33621-5023 - Phone
- (813) 827-9033
- Fax
- (813) 827-1071
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 740352 | FL | Primary |
Addresses
Primary practice location
3250 Zemke Ave
Tampa, FL 33621-5023
Mailing address
9218 54TH CT E
Parrish, FL 34219-5433
Phone (941) 773-9062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140623000541 | FL | Order and Referring Only - Nurse Practitioner | 5597989160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740352 | FL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1528040110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9218 54TH CT E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342195433",
"telephone_number": "941-773-9062",
"fax_number": "813-827-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-9033",
"fax_number": "813-827-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDERVELT",
"first_name": "BARBARA",
"middle_name": "ANNE GESCHKE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "740352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.