Individual provider Active NPI

Maria Giddarie, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1639069248
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040646 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383
Phone
(678) 467-3703
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 11040646 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383

Mailing address

3959 Van Dyke Rd # 241
Lutz, FL 33558-8025
Phone (678) 467-3703

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
I20250917000586 FL Practitioner - Nurse Practitioner 1557865292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3519 Palm Harbor Blvd
Suite B
Palm Harbor, FL 34683-1416
Phone (813) 336-4461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040646FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine Neuroscience Institute, LLC CurrentSince Aug 1, 2025 Accepting new patients
Brain and Spine Neuroscience Institute, LLC Current Accepting new patients

Locations

17849 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 336-4461

3519 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (813) 336-4461

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1639069248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 VAN DYKE RD # 241",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588025",
            "telephone_number": "678-467-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "678-467-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDARIE",
        "first_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.