Anet Proenza, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11027474 Issued in FL

Practice address

4308 N Habana Ave
Tampa, FL 33607-6316

Phone

(813) 490-9495

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pulmonary & Sleep of Tampa Bay PL

  • Pulmonary Disease Physician
  • Brandon, FL
  • NPI 1821398538
  Medicare reassignment
• Pulmonary & Sleep of Tampa Bay PL

  • Pulmonary Disease Physician
  • Plant City, FL
  • NPI 1164723250
  NPD
• Pulmonary & Sleep of Tampa Bay PL

  • Pulmonary Disease Physician
  • Wesley Chapel, FL
  • NPI 1952669327
  NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1558040949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 OASIS PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152779",
            "telephone_number": "813-679-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076316",
            "telephone_number": "813-490-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROENZA",
        "first_name": "ANET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Proctor
• Cynthia Proctor
• Adam Procuniar, CRNA
• Prodigee Investment Group LLC
• Prodigy Health LLC
• Professional Behavioral Services, Inc
• Professional Portable Radiologic Services Inc.
• Professional Portable Radiologic Services Inc.
• Professional Portable Radiologic Services Inc.
• Professional Psychiatric Associates

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.

Verify at the official NPI Registry.