Individual provider Active NPI

Haydee Pimentel-Tejada, FNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619247053
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9439800 Issued in FL
Practice address
6726 Hanley Rd
Tampa, FL 33634-4739
Phone
(813) 284-7903
NPI assigned
Jan 3, 2012
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336947 NY
Family Nurse Practitioner 363LF0000X 9439800 FL Primary

Addresses

Primary practice location

6726 Hanley Rd
Tampa, FL 33634-4739

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

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
I20230509003044 FL Practitioner - Nurse Practitioner 1557509510 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9439800FLMDFamily Nurse Practitioner
336947NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Dec 16, 2024 Accepting new patients
Miami Beach Medical Consultants, LLC. CurrentSince May 1, 2023 Accepting new patients
Metcare of Florida Past Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

7500 SW 8th St
Ste 400
Miami, FL 33144

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

6726 Hanley Rd
Tampa, FL 33634
Phone (813) 284-7903

Interoperability endpoints

  • Direct secure messaging: haydee.pimentel.p1@direct.mbmg.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1619247053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 HANLEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344739",
            "telephone_number": "813-284-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL-TEJADA",
        "first_name": "HAYDEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9439800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.