Individual provider Active NPI

Lakeshia Wynn

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1649771239
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9399245 Issued in FL
Practice address
7608 Causeway Blvd
Tampa, FL 33619-5912
Phone
(813) 397-5300
Fax
(813) 738-9004
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 APRN9399245 FL Primary

Addresses

Primary practice location

7608 Causeway Blvd
Tampa, FL 33619-5912

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

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
I20180413002157 FL Practitioner - Nurse Practitioner 4183987647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

7608 Causeway Blvd
Tampa, FL 33619-5912
Phone (813) 397-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9399245FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Mar 12, 2018 Accepting new patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Mar 12, 2018 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

2727 W Mlk Blvd
Ste 300
Tampa, FL 33607
Phone (813) 870-4435

302 W Fletcher Ave
Tampa, FL 33612

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

3901 S West Shore Blvd
Tampa, FL 33611
Phone (813) 712-1940

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

13018 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 284-4554

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

Organizations & group practices 3

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1649771239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195912",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "LAKESHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9399245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.