Individual provider Active NPI

Jordyn Rose Gill, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619714003
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033907 Issued in FL
Practice address
2803 W Saint Isabel St
Tampa, FL 33607-6343
Phone
(813) 253-2273
Fax
(813) 253-2279
NPI assigned
Jul 11, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 APRN11033907 FL
Family Nurse Practitioner 363LF0000X 11033907 FL Primary

Addresses

Primary practice location

2803 W Saint Isabel St
Tampa, FL 33607-6343

Mailing address

2401 Gathering Way
Odessa, FL 33556-4382
Phone (908) 328-4765

Other practice location 1

15141 Ogden Loop
Odessa, FL 33556-4633
Phone (813) 333-1186

Other practice location 2

2401 Gathering Way
Odessa, FL 33556-4382
Phone (908) 328-4765

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
I20250113003520 FL Practitioner - Nurse Practitioner 4688102080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naps Medical, LLCGroup PAC ID 0244647873, 9 clinicians
Comprehensive Spine Institute, LLCGroup PAC ID 1456536192, 17 clinicians

Practice addresses (Care Compare)

2803 W Saint Isabel St
Tampa, FL 33607-6343
Phone (813) 253-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11033907FLMDFamily Nurse Practitioner
APRN11033907FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Spine Institute, LLC CurrentSince Jan 6, 2025 Accepting new patients
Naps Medical LLC CurrentSince May 1, 2025 Accepting new patients

Locations

1988 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 314-4243

1988 Gulf To Bay Blvd
Ste 1
Clearwater, FL 33765
Phone (727) 953-8090

4002 Sun City Center Blvd
Unit 101
Sun City Ctr, FL 33573
Phone (813) 672-2243

2803 W Saint Isabel St
Tampa, FL 33607
Phone (813) 875-3896

3010 E 138th Ave
Ste 9
Tampa, FL 33613
Phone (813) 288-9343

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, 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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1619714003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GATHERING WAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564382",
            "telephone_number": "908-328-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 W SAINT ISABEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076343",
            "telephone_number": "813-253-2273",
            "fax_number": "813-253-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15141 Ogden Loop",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335564633",
            "country_code": "US",
            "telephone_number": "813-333-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Gathering Way",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335564382",
            "country_code": "US",
            "telephone_number": "908-328-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "JORDYN",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.