Active NPI
Michelle Deneen Parker
- Gerontology Nurse Practitioner
- Tampa, FL
National Provider Identifier
1548035686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11031526
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9538171 | FL | MD | Critical Care Medicine Registered Nurse |
| APRN11031526 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health Providers of Florida | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.