Active NPI
Ericka Mutz, FNP-C, APRN
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1598361925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11007665
- Practice address
- 5004 S Macdill Ave Unit B
Tampa, FL 33611-3807 - Phone
- (813) 333-5335
- Fax
- (813) 738-1561
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95014786 | CA | |
| Nurse Practitioner | 363L00000X | 11007665 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209.026328 | IL |
Addresses
Primary practice location
5004 S Macdill Ave Unit B
Tampa, FL 33611-3807
Mailing address
2906 W Gandy Blvd Apt 1
Tampa, FL 33611-2800
Phone (904) 402-0711
Other practice location 1
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994
Other practice location 2
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994
Other practice location 3
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (888) 731-8994
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 |
|---|---|---|---|
| 95014786 | CA | MD | Nurse Practitioner |
| 11007665 | FL | MD | Nurse Practitioner |
| 209.026328 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1598361925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 W GANDY BLVD APT 1",
"city": "TAMPA",
"state": "FL",
"postal_code": "336112800",
"telephone_number": "904-402-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5004 S MACDILL AVE UNIT B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113807",
"telephone_number": "813-333-5335",
"fax_number": "813-738-1561"
}
],
"practiceLocations": [
{
"address_1": "195 Page Mill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943062073",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 N Orange Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328012381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 W Jackson Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606043597",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTZ",
"first_name": "ERICKA",
"credential": "FNP-C, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95014786",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11007665",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.026328",
"primary": false
}
],
"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 Aug 11, 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.