Individual provider Active NPI

Andrea Reyes

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1669006748
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11006198 Issued in FL
Practice address
3133 W Villa Rosa St
Tampa, FL 33611-2943
Phone
(740) 350-8525
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11006198 FL Primary

Addresses

Primary practice location

3133 W Villa Rosa St
Tampa, FL 33611-2943

Mailing address

2590 Healing Way Ste 310
Wesley Chapel, FL 33543-5497

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
I20200922003031 FL Practitioner - Nurse Practitioner 2961820055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuspine Institute LLCGroup PAC ID 0648545129, 12 clinicians
West Florida Physician Network, LLCGroup PAC ID 1153476544, 49 clinicians

Practice addresses (Care Compare)

2590 Healing Way
Suite 310
Wesley Chapel, FL 33543-5497
Phone (813) 995-0984

510 Vonderburg Dr
Suite 213
Brandon, FL 33511-5981
Phone (813) 995-0984

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuspine Institute LLC CurrentSince Jul 1, 2020 Accepting new patients
Neuspine Institute LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

510 Vonderburg Dr
Ste 213
Brandon, FL 33511
Phone (813) 347-8483

15141 Ogden Loop
Odessa, FL 33556

2829 W De Leon St
Tampa, FL 33609
Phone (813) 342-1445

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

2590 Healing Way
Wesley Chapel, FL 33543
Phone (888) 663-3488

2653 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 324-1939

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.

Hospital & facility affiliations 3

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1669006748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 310",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W VILLA ROSA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112943",
            "telephone_number": "740-350-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11006198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.