Individual provider Active NPI

Ellen Huenink, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1730637836
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9348474 Issued in FL
Practice address
4321 N Macdill Ave Ste 405
Tampa, FL 33607-6391
Phone
(813) 874-0430
Fax
(813) 874-3535
NPI assigned
Sep 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN9348474 FL
Family Nurse Practitioner 363LF0000X APRN9348474 FL Primary

Addresses

Primary practice location

4321 N Macdill Ave Ste 405
Tampa, FL 33607-6391

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

3450 E Fletcher Ave Ste 110
Tampa, FL 33613-4603
Phone (813) 972-4488

Other practice location 2

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

Other practice location 3

5802 N 30th St
Tampa, FL 33610-1469
Phone (813) 236-5100

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
I20190409003260 FL Practitioner - Nurse Practitioner 3577804012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

3331 W Fletcher Ave
Tampa, FL 33618-2810
Phone (813) 972-4488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC CurrentSince Jun 1, 2020 Accepting new patients
Women'S Care Florida LLC CurrentSince Jun 1, 2020 Accepting new patients
Manatee Gynecology LLC CurrentSince Feb 13, 2019 Accepting new patients

Locations

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4321 N Macdill Ave
Ste 405
Tampa, FL 33607
Phone (813) 607-7540

3450 E Fletcher Ave
Ste 110
Tampa, FL 33613
Phone (813) 971-2424

4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

3331 W Fletcher Ave
Tampa, FL 33618
Phone (813) 972-4488

5002 W Lemon St
Tampa, FL 33609

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1730637836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MACDILL AVE STE 405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076391",
            "telephone_number": "813-874-0430",
            "fax_number": "813-874-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 E Fletcher Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134603",
            "country_code": "US",
            "telephone_number": "813-972-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 60th Street Ct W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34209",
            "country_code": "US",
            "telephone_number": "941-792-4993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336101469",
            "country_code": "US",
            "telephone_number": "813-236-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUENINK",
        "first_name": "ELLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9348474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9348474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.