Individual provider Active NPI

Michelle Deneen Parker

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1548035686
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11031526 Issued in FL
Practice address
7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone
(813) 558-8080
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11031526 FL Primary
Critical Care Medicine Registered Nurse 163WC0200X 9538171 FL
Adult Health Nurse Practitioner 363LA2200X APRN11031526 FL
Primary Care Nurse Practitioner 363LP2300X APRN11031526 FL

Addresses

Primary practice location

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665

Mailing address

4747 W Waters Ave Apt 1405
Tampa, FL 33614-1436
Phone (813) 507-0320

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
I20240418000548 FL Practitioner - Nurse Practitioner 8921447319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health Providers of FloridaGroup PAC ID 9335487255, 5 clinicians

Practice addresses (Care Compare)

10300 4TH St N
Saint Petersburg, FL 33716-3810
Phone (386) 562-4899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9538171FLMDCritical Care Medicine Registered Nurse
APRN11031526FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health Providers of Florida CurrentSince Apr 4, 2024 Accepting new patients

Locations

100 W Indiana Ave
Deland, FL 32720

2121 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 771-8400

10300 4th St N
St Petersburg, FL 33716
Phone (727) 568-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18512/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1548035686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 W WATERS AVE APT 1405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141436",
            "telephone_number": "813-507-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142665",
            "telephone_number": "813-558-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHELLE",
        "middle_name": "DENEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11031526",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9538171",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11031526",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11031526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.