Nicole Brandao Redquest, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118484 Issued in FL

Practice address

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505

Phone

(813) 963-2020

Fax

(813) 265-2842

NPI assigned

Apr 19, 2024

Last updated

Apr 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larry M Perich DO PAGroup PAC ID 8224060553, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Larry M. Perich Dopa

  dba Perich Eye Center

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1811920606
  Medicare reassignment Care Compare group
• Larry M. Perich Dopa

  dba Perich Eye Center

  • Optometrist
  • Zephyrhills, FL
  • NPI 1518277136
  NPD (past)

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1578318960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-963-2020",
            "fax_number": "813-265-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-963-2020",
            "fax_number": "813-265-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDQUEST",
        "first_name": "NICOLE",
        "middle_name": "BRANDAO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118484",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.5236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Redmon, MS, RMHCI
• Ciana Rae Redmond
• Aida L Redondo, LMFT
• Patricia Redondo
• Karima R Redouan, FNP
• Daniel Lee Redshaw, DNP, CRNA, APRN
• Adela Reeb, MS, ATC
• Jacqueline Risley Reece
• Neil Scott Reece, MD
• Sheaquasia Reece

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.