Individual provider Active NPI

Elizabeth Rose Pare, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1649763012
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9409656 Issued in FL
Practice address
25344 Wesley Chapel Blvd
Ste 101
Lutz, FL 33559-7202
Phone
(323) 947-6203
Fax
(833) 371-1901
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8184 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9409656 FL Primary

Addresses

Primary practice location

25344 Wesley Chapel Blvd
Ste 101
Lutz, FL 33559-7202

Mailing address

6708 N Branch Ave
Apt B
Tampa, FL 33604-5589
Phone (352) 504-0340

Other practice location 1

21808 State Road 54
Lutz, FL 33549-6923
Phone (813) 428-6100

Other practice location 2

21808 State Road 54
Lutz, FL 33549-6923
Phone (813) 428-6100

Other practice location 3

141 E Main St
Waterbury, CT 06702
Phone (203) 574-9000

Other practice location 4

2626 Tampa Rd Ste 101
Palm Harbor, FL 34684-3110
Phone (352) 431-3940

Other practice location 5

611 Druid Rd E Ste 512
Clearwater, FL 33756-3942
Phone (352) 431-3940

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
I20180816002150 FL Practitioner - Nurse Practitioner 2365791886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8184CTMDGeneral Practice Dentistry
ARNP9409656FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Every Rose LLC CurrentSince Feb 3, 2021 Accepting new patients
Gulf to Bay Infectious Disease Consultants PLLC PastSince Sep 1, 2020 Accepting new patients

Locations

16510 N Florida Ave
Ste 100
Lutz, FL 33549

25344 Wesley Chapel Blvd
Ste 101
Lutz, FL 33559
Phone (323) 947-6203

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1649763012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 N BRANCH AVE",
            "address_2": "APT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045589",
            "telephone_number": "352-504-0340",
            "fax_number": "352-431-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25344 WESLEY CHAPEL BLVD",
            "address_2": "STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597202",
            "telephone_number": "323-947-6203",
            "fax_number": "833-371-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21808 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335496923",
            "country_code": "US",
            "telephone_number": "813-428-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21808 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335496923",
            "country_code": "US",
            "telephone_number": "813-428-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "06702",
            "country_code": "US",
            "telephone_number": "203-574-9000",
            "fax_number": "203-574-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Tampa Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843110",
            "country_code": "US",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Druid Rd E Ste 512",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563942",
            "country_code": "US",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARE",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8184",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9409656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.