Individual provider Active NPI

Deysi Aguilera, RN, BSN, ARNP

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1538487046
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9407603 Issued in FL
Practice address
6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770
Phone
(813) 352-8305
NPI assigned
May 7, 2010
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9407603 FL Primary

Addresses

Primary practice location

6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770

Mailing address

6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770
Phone (813) 352-8305

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
I20160729000764 FL Practitioner - Nurse Practitioner 5991982449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9407603FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rag Medical Clinic LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

6408 N Armenia Ave
Ste B-1
Tampa, FL 33604
Phone (813) 352-8305

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1538487046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE B-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-352-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE B-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-352-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "DEYSI",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9407603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.