Active NPI
Woodlyne Arne
- Gerontology Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11021624
- Practice address
- 2538 Middleton Grove Dr
Brandon, FL 33511-4784 - Phone
- (813) 531-2701
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11021624 | FL | Primary |
Addresses
Primary practice location
2538 Middleton Grove Dr
Brandon, FL 33511-4784
Mailing address
2538 Middleton Grove Dr
Brandon, FL 33511-4784
Other practice location 1
2538 Middleton Grove Dr
Brandon, FL 33511-4784
Phone (813) 531-2701
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3040 E College Ave
Ruskin, FL 33570-5220
Phone (813) 331-3940
428 Airport Blvd
Pensacola, FL 32503-7865
Phone (864) 593-9996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021624 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Infusion, LLC | Current | Accepting new patients | |
| Sun City Center Health and Wellness LLC | Current | Accepting new patients |
Locations
401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007
3040 State Road 674
Ruskin, FL 33570
Phone (813) 331-3940
2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Ruskin, FL
- NPI 1871992545
-
- Infusion Therapy Clinic/Center
- Tampa, FL
- NPI 1013578442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1689480188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 MIDDLETON GROVE DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2538 MIDDLETON GROVE DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114784",
"telephone_number": "813-531-2701"
}
],
"practiceLocations": [
{
"address_1": "2538 Middleton Grove Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335114784",
"country_code": "US",
"telephone_number": "813-531-2701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNE",
"first_name": "WOODLYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11021624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.