Nicole Anne Ida, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9269007 Issued in FL

Practice address

11200 Seminole Blvd
Suite 210
Largo, FL 33778-3259

Phone

(727) 584-9500

Fax

(727) 393-9502

NPI assigned

Jan 9, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1598035495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD",
            "address_2": "SUITE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783259",
            "telephone_number": "727-584-9500",
            "fax_number": "727-914-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD",
            "address_2": "SUITE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783259",
            "telephone_number": "727-584-9500",
            "fax_number": "727-393-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDA",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9269007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Ibraheim, D.O.
• Michael E Ibrahim
• Id Team PA
• Ida Rather Be Sleeping Anesthesia LLC
• Brian Ida, D.O.
• Mona Ido, L.M.H.C.
• Alexa Ignacio
• Katherine Ihlenfeldt
• Imagine Orthodontic Studio PLLC
• Indian Oaks Incorporated

• Family Nurse Practitioner in Largo, FL
• Providers in Largo, 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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.