Individual provider Active NPI

Julie Corinne Bucciarelli, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1578059606
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9362762 Issued in FL
Practice address
1425 S Howard Ave
Tampa, FL 33606-3491
Phone
(813) 253-2635
Fax
(813) 254-7241
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 APRN9362762 FL Primary

Addresses

Primary practice location

1425 S Howard Ave
Tampa, FL 33606-3491

Mailing address

4197 Woodlands Pkwy
Palm Harbor, FL 34685-3493
Phone (813) 333-1512

Other identifiers 1

IdentifierTypeStateIssuer
110255200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbucciarelli@dmp.emedirect.md Direct

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
I20190110002600 FL Practitioner - Nurse Practitioner 4486990504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Harbor Dermatology PAGroup PAC ID 4789758558, 33 clinicians

Practice addresses (Care Compare)

1425 S Howard Ave
Tampa, FL 33606-3491
Phone (813) 253-2635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9362762FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Harbor Dermatology PA CurrentSince Nov 1, 2018 Accepting new patients

Locations

4197 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-3810

4919 Memorial Hwy
Ste 150
Tampa, FL 33634

1425 S Howard Ave
Tampa, FL 33606
Phone (813) 253-2635

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbucciarelli@dmp.emadirect.md

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": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1578059606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853493",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063491",
            "telephone_number": "813-253-2635",
            "fax_number": "813-254-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIARELLI",
        "first_name": "JULIE",
        "middle_name": "CORINNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9362762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110255200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbucciarelli@dmp.emedirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 S Howard Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.