NPIMap

Organization Active NPI

Humana Medical Plan, Inc.

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1669289773
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HUMANA MEDICAL PLAN, INC.
Practice address
4030 W Boy Scout Blvd
Tampa, FL 33607-5713
Phone
(813) 226-7199
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Lori Dunne
Title
VP, Operations
Phone
(813) 226-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

4030 W Boy Scout Blvd
Tampa, FL 33607-5713

Mailing address

4030 W Boy Scout Blvd
Tampa, FL 33607-5713

Other identifiers 1

IdentifierTypeStateIssuer
123610310MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Humana Medical Plan Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4030 W Boy Scout Blvd
Tampa, FL 33607
Phone (813) 226-7199

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1669289773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 W BOY SCOUT BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 W BOY SCOUT BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075713",
            "telephone_number": "813-226-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA MEDICAL PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "813-226-7199"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123610310",
            "state": "FL"
        }
    ],
    "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 Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.