Individual provider Active NPI

Madhavi Latha Yendapalli, APRN

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1609522762
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11017448 Issued in FL
Practice address
4129 N Armenia Ave Ste B
Tampa, FL 33607-6436
Phone
(813) 879-3699
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11017448 FL Primary

Addresses

Primary practice location

4129 N Armenia Ave Ste B
Tampa, FL 33607-6436

Mailing address

1908 Samantha LN
Valrico, FL 33594-5145
Phone (407) 409-2255

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
I20250328002222 FL Practitioner - Nurse Practitioner 1153844295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017448FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Lung Specialists, P.a. CurrentSince Mar 25, 2025 Accepting new patients
Raul Sierra MD PA PastSince Mar 6, 2022 Accepting new patients

Locations

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1609522762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SAMANTHA LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945145",
            "telephone_number": "407-409-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENDAPALLI",
        "first_name": "MADHAVI",
        "middle_name": "LATHA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11017448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.