Individual provider Active NPI

Phuong Vy Vu Tran, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1730065533
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11041601 Issued in FL
Practice address
508 Jeffords St Ste D
Clearwater, FL 33756-3839
Phone
(727) 443-7700
Fax
(727) 461-4379
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9582251 FL
Family Nurse Practitioner 363LF0000X APRN11041601 FL Primary

Addresses

Primary practice location

508 Jeffords St Ste D
Clearwater, FL 33756-3839

Mailing address

508 Jeffords St Ste D
Clearwater, FL 33756-3839
Phone (727) 443-7700

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
I20251031000051 FL Practitioner - Nurse Practitioner 4688163025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3001 Executive Dr
Suite 130
Clearwater, FL 33762-5323

3001 Executive Dr
Suite 301
Clearwater, FL 33762-2260

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9582251FLMDRegistered Nurse
APRN11041601FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP CurrentSince Oct 6, 2025 Accepting new patients
Gastroenterology Consultants of Clearwater PastSince Oct 6, 2025 Accepting new patients

Locations

508 Jeffords St
Ste D
Clearwater, FL 33756
Phone (727) 442-4188

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

646 Virginia St
Fl 5
Dunedin, FL 34698
Phone (727) 210-2235

646 Virginia St
Fl 2
Dunedin, FL 34698
Phone (727) 443-7700

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

Organizations & group practices 2

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 1

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1730065533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 JEFFORDS ST STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563839",
            "telephone_number": "727-443-7700",
            "fax_number": "727-461-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JEFFORDS ST STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563839",
            "telephone_number": "727-443-7700",
            "fax_number": "727-461-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG VY",
        "middle_name": "VU",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9582251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.