Individual provider Active NPI

Arveny Damaris Negron, PA

  • Medical Physician Assistant
  • Valrico, FL
National Provider Identifier
1528477254
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9110939 Issued in FL
Practice address
4411 Swift Cir
Valrico, FL 33596-7278
Phone
(908) 500-5607
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9110939 FL Primary

Addresses

Primary practice location

4411 Swift Cir
Valrico, FL 33596-7278

Mailing address

4411 Swift Cir
Valrico, FL 33596-7278
Phone (908) 500-5607

Other practice location 1

27343 Wesley Chapel Blvd
Wesley Chapel, FL 33544-4287
Phone (813) 991-9355

Other practice location 2

27343 Wesley Chapel Blvd
Wesley Chapel, FL 33544-4287
Phone (813) 991-9355

Other practice location 3

500 Vonderburg Dr Ste 311W
Brandon, FL 33511-5978
Phone (813) 654-2445

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
I20200210002459 FL Practitioner - Physician Assistant 1850698382 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Jul 6, 2021 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jul 6, 2021 Accepting new patients

Locations

27343 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 991-9355

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Interoperability endpoints

  • Direct secure messaging: arveny.negron.1@14883.direct.athenahealth.com
  • Direct secure messaging: arveny.negron.1@26845.direct.athenahealth.com

Organizations & group practices 3

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1528477254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SWIFT CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967278",
            "telephone_number": "908-500-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SWIFT CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967278",
            "telephone_number": "908-500-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27343 Wesley Chapel Blvd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444287",
            "country_code": "US",
            "telephone_number": "813-991-9355",
            "fax_number": "813-355-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27343 Wesley Chapel Blvd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444287",
            "country_code": "US",
            "telephone_number": "813-991-9355",
            "fax_number": "813-355-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 311W",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115978",
            "country_code": "US",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "ARVENY",
        "middle_name": "DAMARIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.