Active NPI
Anjali Raj
- Primary Care Nurse Practitioner
- Tampa, FL
National Provider Identifier
1578413936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11045071
- Practice address
- 2510 Lake Ellen Cir
Tampa, FL 33618-3222 - Phone
- (703) 624-6099
- NPI assigned
- Feb 3, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 11045071 | FL | Primary |
Addresses
Primary practice location
2510 Lake Ellen Cir
Tampa, FL 33618-3222
Mailing address
2510 Lake Ellen Cir
Tampa, FL 33618-3222
Phone (703) 624-6099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11045071 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1578413936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 LAKE ELLEN CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336183222",
"telephone_number": "703-624-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 LAKE ELLEN CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336183222",
"telephone_number": "703-624-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJ",
"first_name": "ANJALI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11045071",
"primary": true
}
],
"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 Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.