Individual provider Active NPI

Miriam Elisabeth Additon, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1558874875
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9363868 Issued in FL
Practice address
2700 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6386
Phone
(813) 541-1913
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9363868 FL Primary

Addresses

Primary practice location

2700 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6386

Mailing address

3216 W de Leon St Unit 29
Tampa, FL 33609-5505
Phone (813) 541-1913

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
I20201008001009 FL Practitioner - Nurse Practitioner 2365861556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9363868FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Friedman DO PA CurrentSince Aug 26, 2020 Accepting new patients
Florida Pain Relief Group PLLC Family CurrentSince Mar 20, 2022 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

6310 Health Park Way
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 361-1123

2114 Seven Springs Blvd
Ste 100
New Prt Rchy, FL 34655
Phone (727) 376-4485

10875 Park Blvd
Ste C
Seminole, FL 33772
Phone (727) 350-0453

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

725 Cortaro Dr
Sun City Center, FL 33573
Phone (813) 426-8265

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

Organizations & group practices 2

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1558874875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 W DE LEON ST UNIT 29",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336095505",
            "telephone_number": "813-541-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076386",
            "telephone_number": "813-541-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDITON",
        "first_name": "MIRIAM",
        "middle_name": "ELISABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9363868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.