Individual provider Active NPI

Baotran Tran

  • Family Nurse Practitioner
  • Port Richey, FL
National Provider Identifier
1629473541
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004011 Issued in FL
Practice address
8202 Washington St
Port Richey, FL 34668-6695
Phone
(727) 819-1610
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 209012082 IL
Family Nurse Practitioner 363LF0000X 11004011 FL Primary

Addresses

Primary practice location

8202 Washington St
Port Richey, FL 34668-6695

Mailing address

8202 Washington St
Port Richey, FL 34668-6695
Phone (727) 819-1610

Other names 1

  • Mrs. Tina Tran Other name

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
I20220701001059 FL Practitioner - Nurse Practitioner 7517269384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kratz Allergy Asthma and Immunology Associates PAGroup PAC ID 0941397210, 4 clinicians

Practice addresses (Care Compare)

8202 Washington St
Port Richey, FL 34668-6695
Phone (727) 819-1610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004011FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kratz Allergy Asthma & Immunology Associates PA CurrentSince May 3, 2022 Accepting new patients

Locations

14111 State Road 54
Odessa, FL 33556
Phone (813) 343-5690

8202 Washington St
Port Richey, FL 34668
Phone (727) 819-1610

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1629473541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686695",
            "telephone_number": "727-819-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686695",
            "telephone_number": "727-819-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BAOTRAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "TRAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.