Individual provider Active NPI

Arlene Padron Alfonso

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1629647284
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012840 Issued in FL
Practice address
7330 Sunshine Cir
Tampa, FL 33634-2253
Phone
(813) 389-5111
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11012840 FL Primary

Addresses

Primary practice location

7330 Sunshine Cir
Tampa, FL 33634-2253

Mailing address

7330 Sunshine Cir
Tampa, FL 33634-2253
Phone (813) 389-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apalfonso76@yahoo.es

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
I20240222000643 FL Practitioner - Nurse Practitioner 2365886918 Practice locations: Tampa, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012840FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1629647284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SUNSHINE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342253",
            "telephone_number": "813-389-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SUNSHINE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342253",
            "telephone_number": "813-389-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON ALFONSO",
        "first_name": "ARLENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apalfonso76@yahoo.es",
            "affiliation": "N",
            "address_1": "7330 Sunshine Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336342253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.