Active NPI
Ivonne Medina
- Adult Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1659014744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11050351
- Practice address
- 16510 N Dale Mabry Hwy
Tampa, FL 33618-1325 - Phone
- (813) 409-0047
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9301620 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11050351 | FL | Primary |
Addresses
Primary practice location
16510 N Dale Mabry Hwy
Tampa, FL 33618-1325
Mailing address
16510 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone (813) 409-0047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9301620 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1659014744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16510 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181325",
"telephone_number": "813-409-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16510 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181325",
"telephone_number": "813-409-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "IVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9301620",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11050351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.